Document Detail

Incidence and characteristics of dysphoria in patients with cardiac tamponade.
MedLine Citation:
PMID:  18005805     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The signs and symptoms associated with cardiac tamponade are often nonspecific. Dysphoria associated with cardiac tamponade has been understudied. An understanding of the behavioral traits associated with dysphoria and cardiac tamponade may contribute to early detection. OBJECTIVES: The behavioral traits of dysphoric patients with cardiac tamponade are described. METHODS: A retrospective chart review of 56 adult patients with a diagnosis of cardiac tamponade from 1990 to 1999 at a university hospital in Japan is described. RESULTS: The incidence of dysphoria associated with cardiac tamponade was 17 of 66 events (25.8%) in 56 adult Japanese patients. The most frequent behavioral traits were "body movement," "facial expression," "gets up/tries to get up," and "restlessness." Statements of "somewhat/something strange" and "no place to put (my) body" were documented twice for each category. Subjects verbalized that they were going to "die" in four events. CONCLUSION: Clinicians caring for patients at risk of cardiac tamponade are advised to be sensitive to the patients' restless body movements and unusual facial expressions, and statements indicating restlessness and impending death.
Yuko Ikematsu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Heart & lung : the journal of critical care     Volume:  36     ISSN:  0147-9563     ISO Abbreviation:  Heart Lung     Publication Date:    2007 Nov-Dec
Date Detail:
Created Date:  2007-11-16     Completed Date:  2008-02-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0330057     Medline TA:  Heart Lung     Country:  United States    
Other Details:
Languages:  eng     Pagination:  440-9     Citation Subset:  AIM; IM    
Nagoya University, School of Health Sciences, Nagoya, Japan.
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MeSH Terms
Aged, 80 and over
Cardiac Tamponade / psychology*
Mental Disorders / psychology*
Middle Aged
Retrospective Studies

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