FELIX A. SILVERSTONE, M.D.
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The management of heart failure due to pericardial effusion involves two general phases. When cardiac tamponade is the pressing problem, the patient can be immediately benefited by a pericardial tap, which also affords diagnostic data. Otherwise treatment is directed at the underlying cause, be it inflammatory, traumatic, neoplastic, nutritional or metabolic, in an attempt to prevent re-accumulation of fluid. While this regimen usually suffices, an occasional instance will arise where repeated re-accumulation of fluid cannot be controlled in this way. The outlook then becomes unfavorable unless another means can be devised to prevent cardiac tamponade, with its attendant diminished cardiac
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SILVERSTONE FA. RECURRENT HEART FAILURE WITH TAMPONADE DUE TO PERICARDIAL EFFUSION; IMPROVEMENT FOLLOWING PLEURAL-PERICARDIAL FENESTRATION(RECURRENT HEART FAILURE WITH TAMPONADE DUE TO PERICARDIAL EFFUSION; IMPROVEMENT FOLLOWING PLEURAL-PERICARDIAL FENESTRATION*). Ann Intern Med. 1955;42:937–941. doi: 10.7326/0003-4819-42-4-937
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Published: Ann Intern Med. 1955;42(4):937-941.
Cardiology, Heart Failure, Pericardial Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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