Document Detail


Pericardiocentesis and principles of echocardiographic imaging in the patient with cardiac neoplasia.
MedLine Citation:
PMID:  12831077     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ultrasonography is a safe, noninvasive, sensitive, and specific tool for evaluation of the heart and pericardium in patients with cardiac neoplasia. In small animals, the incidence of cardiac neoplasia is low. In dogs, hemangiosarcoma and chemocdectoma are the two most common types of cardiac neoplasia. In cats, lymphosarcoma is the most common form of cardiac neoplasia. Pericardial effusion is a common and potentially life-threatening consequence of cardiac neoplasia. Pericardial effusion leads to a rise in the intrapericardial pressure, resulting in varying degrees of hemodynamic compromise. Cardiac tamponade occurs when the intrapericardial pressure equals or exceeds right ventricular diastolic filling pressures, leading to a decreased cardiac output. Pericardiocentesis is used to stabilize animals with life-threatening cardiac tamponade, and to obtain fluid samples for diagnostic evaluation. The fluid should be quantified and characterized. If the etiology of the effusion is not known, then a sample of the fluid should be submitted for fluid analysis and cytology. Serious complications associated with pericardiocentesis are rare. Complications include cardiac puncture, arrhythmias, and laceration of the tumor or coronary artery, resulting in intrapericardial hemorrhage.
Authors:
Josh Gidlewski; Jean-Paul Petrie
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinical techniques in small animal practice     Volume:  18     ISSN:  1096-2867     ISO Abbreviation:  Clin Tech Small Anim Pract     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-06-30     Completed Date:  2003-07-21     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9806359     Medline TA:  Clin Tech Small Anim Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  131-4     Citation Subset:  IM    
Affiliation:
Animal Medical Center, New York, NY 10021, USA.
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MeSH Terms
Descriptor/Qualifier:
Animals
Dog Diseases / pathology*,  ultrasonography*
Dogs
Echocardiography / veterinary*
Heart Neoplasms / pathology,  ultrasonography,  veterinary*
Pericardiocentesis / veterinary*
Veterinary Medicine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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