RESUMO
General internists and adult cardiologist are seeing adult congenital heart disease more frequently in their clinical practices. We report the case of a polycythaemic patient with the cerebral and pulmonary arteriovenous malformations (AVMs) who presents with a transient ischaemic attack (TIA). Treatment strategies such as antiplatelet drugs and vensection may at best be ineffective and at worst detrimental to the patient.
Assuntos
Malformações Arteriovenosas/complicações , Ataque Isquêmico Transitório/etiologia , Policitemia/complicações , Doença Aguda , Adolescente , Humanos , Malformações Arteriovenosas Intracranianas/complicações , Masculino , Artéria Pulmonar/anormalidades , Veias Pulmonares/anormalidadesRESUMO
A 30-year-old male presented with acute pericarditis and a moderate pericardial effusion. His condition deteriorated suddenly with a marked elevation in blood pressure. The hypertension was erroneously correlated with a low probability of cardiac tamponade, leading to a delay in performing an echocardiogram. The echocardiogram subsequently showed features of cardiac tamponade. Severe elevation of blood pressure in a patient with cardiac tamponade is a rare and under-recognized disorder. This condition is discussed here.