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
SILVERSTONE FA. RECURRENT HEART FAILURE WITH TAMPONADE DUE TO PERICARDIAL EFFUSION; IMPROVEMENT FOLLOWING PLEURAL-PERICARDIAL FENESTRATION1. 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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