Cardiac tamponade

An uncommon presentation of hypertensive scleroderma renal crisis

Debendra Pattanaik, Darren Tabechian, Charlene Varnis

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Cardiac tamponade is an extremely rare manifestation of systemic sclerosis and has been reported to be a risk factor for the subsequent development of renal failure. We report the case of a 37-year-old man with recently diagnosed scleroderma who presented with chest pain and shortness of breath. He was found to have scleroderma renal crisis as well as cardiac tamponade. He responded hemodynamically to emergent pericardiocentesis and blood pressure control with angiotensin-converting enzyme inhibitors. However, the renal function deteriorated further leading to development of end-stage renal disease and required chronic hemodialysis. Although pericardial effusions are common in scleroderma, cardiac tamponade is rare. Coexistent hypertension and cardiac tamponade in scleroderma have not been described previously. Elevated systemic blood pressure can accompany and should not be used to exclude the diagnosis of cardiac tamponade. We emphasize the importance of pericardial disease as an uncommon but important cause of chest pain in patients with scleroderma.

Original languageEnglish (US)
Pages (from-to)125-129
Number of pages5
JournalJournal of Clinical Rheumatology
Volume10
Issue number3
DOIs
StatePublished - Jun 2004
Externally publishedYes

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Cardiac Tamponade
Kidney
Chest Pain
Pericardiocentesis
Blood Pressure
Pericardial Effusion
Systemic Scleroderma
Angiotensin-Converting Enzyme Inhibitors
Dyspnea
Chronic Kidney Failure
Renal Insufficiency
Renal Dialysis
Hypertension

All Science Journal Classification (ASJC) codes

  • Rheumatology

Cite this

Cardiac tamponade : An uncommon presentation of hypertensive scleroderma renal crisis. / Pattanaik, Debendra; Tabechian, Darren; Varnis, Charlene.

In: Journal of Clinical Rheumatology, Vol. 10, No. 3, 06.2004, p. 125-129.

Research output: Contribution to journalArticle

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