Cardiac tamponade causes: Difference between revisions
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===Life Threatening Causes=== | ===Life Threatening Causes=== | ||
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. | Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. | ||
*[[Acute myocardial infarction]] | |||
*[[Aortic dissection]] | |||
*[[Aortic rupture]] | |||
*[[Myocardial rupture]] | |||
*[[ventricular aneurysm|Rupture of ventricular aneurysm]] | |||
*[[Uremic pericarditis]] | |||
===Common Causes=== | ===Common Causes=== | ||
*[[Acute myocardial infarction]] | |||
*[[Aortic dissection]] | |||
*[[Aortic rupture]] | |||
*[[Pericarditis|Bacterial pericarditis]] | |||
*[[Cardiac catheterization]] | |||
*[[Cardiomyopathy]] | |||
*[[Chemotherapy]] | |||
*[[Chest trauma]] | |||
*[[Collagen vascular disease]] | |||
*[[Congestive heart failure]] | |||
*[[Dressler's syndrome]] | |||
*[[Neoplasm]] | |||
*[[Postpericardiotomy syndrome]] | |||
*[[Radiation injury|Postirradiation]] | |||
*[[Rheumatic fever|Rheumatic pericarditis]] | |||
*[[Tuberculous pericarditis]] | |||
*[[Uremic pericarditis]] | |||
*[[Pericarditis|Viral pericarditis]] | |||
===Causes by Organ System=== | ===Causes by Organ System=== | ||
{|style="width:80%; height:100px" border="1" | {|style="width:80%; height:100px" border="1" | ||
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" |'''Cardiovascular''' | |style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular''' | ||
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | | |style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Acute myocardial infarction]], [[aortic dissection]], [[aortic rupture]], [[pericarditis|bacterial pericarditis]], [[thoracic duct|benign obstruction of thoracic duct]], [[Cantu syndrome]], [[capillary leak syndrome]], [[cardiomyopathy]], [[congestive heart failure]], [[constrictive pericarditis]], [[dilated cardiomyopathy]], [[dissecting aortic aneurysm]], [[Dressler's syndrome]], [[pericarditis|hypersensitivity pericarditis with eosinophilia]], [[hypertrichotic osteochondrodysplasia]], [[Kawasaki disease]], [[myocardial rupture]], [[heart surgery]], [[pericarditis|fungal pericarditis]], [[pericarditis|pyogenic pericarditis]], [[rheumatic fever|rheumatic pericarditis]], [[tuberculous pericarditis]], [[uremic pericarditis]], [[ventricular aneurysm]], [[pericarditis|viral pericarditis]] | ||
| | |||
| | |||
| | |||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| ''' | | '''Chemical / poisoning''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Asbestosis]], [[silicosis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Dermatologic''' | | '''Dermatologic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Behcet syndrome]]<ref name="pmid420242">{{cite journal| author=Scarlett JA, Kistner ML, Yang LC| title=Behçet's syndrome. Report of a case associated with pericardial effusion and cryoglobulinemia treated with indomethacin. | journal=Am J Med | year= 1979 | volume= 66 | issue= 1 | pages= 146-8 | pmid=420242 | doi= | pmc= | url= }} </ref>, [[Cantu syndrome]], [[hypertrichotic osteochondrodysplasia]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Drug Side Effect''' | | '''Drug Side Effect''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Anticoagulants]], [[bleomycin]], [[chemotherapy]], [[dantrolene]], [[daunorubicin]], [[doxorubicin]], [[hydralazine]], [[isoniazid]], [[minoxidil]], [[penicillin]], [[phenylbutazone]], [[phenytoin]], [[procainamide]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Ear Nose Throat''' | | '''Ear Nose Throat''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Temporal arteritis]]<ref name="pmid7210667">{{cite journal| author=Garewal HS, Uhlmann RF, Bennett RM| title=Pericardial effusion in association with giant cell arteritis. | journal=West J Med | year= 1981 | volume= 134 | issue= 1 | pages= 71-2 | pmid=7210667 | doi= | pmc=PMC1272467 | url= }} </ref> | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Endocrine''' | | '''Endocrine''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Addisonian crisis]], [[hypothyroidism]], [[myxedema]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Gastroenterologic''' | | '''Gastroenterologic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Acute pancreatitis]], [[cirrhosis]], [[inflammatory bowel disease]], [[Whipple's]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Genetic''' | | '''Genetic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Cantu syndrome]], [[congenital disorders of glycosylation]], [[Gaucher disease]], [[hypertrichotic osteochondrodysplasia]], [[Jacobsen syndrome|Jacobs arthropathy-camptodactyly syndrome]], [[Mulibrey nanism|Mulibrey nanism syndrome]], [[recurrent hereditary polyserositis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Hematologic''' | | '''Hematologic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Coagulopathy]], [[leukemia]], [[lymphoma]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Iatrogenic''' | | '''Iatrogenic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Cardiac catheterization]], [[cardiopulmonary resuscitation]], [[catheter ablation|cathether ablation for arrhythmias]], [[CABG|coronary artery bypass grafting]], [[dialysis]], [[heart surgery]], [[percutaneous coronary intervention]], [[postpericardiotomy syndrome]], [[radiation]], [[TAVI]], [[thoracic surgery]], [[valvuloplasty]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Infectious Disease''' | | '''Infectious Disease''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Actinomycosis]], [[adenovirus]], [[hydatid cyst|alveolar hydatid disease]], [[amebiasis]], [[aspergillus]], [[blastomycosis]], [[borrelia]], [[brucellosis]], [[candida]], [[coccidiomycosis]], [[coxsackie B Virus]], [[cytomegalovirus]], [[Ebstein-Barr virus]], [[echinococcus]], [[echovirus]], [[entamoeba histolytica]], [[escherichia coli]], [[francisella]], [[pericarditis|fungal pericarditis]], [[haemophilus influenza]], [[hepatitis B]], [[histoplasmosis]], [[influenza]], [[klebsiella]], [[legionella]], [[Lyme disease]], [[meningococci]], [[mumps]], [[mycobacterium tuberculosis]], [[mycoplasma|mycoplasma pnuemonia]], [[neisseria]], [[nocardia]], [[pneumococci]], [[pneumonia]], [[proteus]], [[pseudomonas]], [[pericarditis|pyogenic pericarditis]], [[rheumatic fever]], [[rickettsia]], [[salmonella]], [[scrub typhus]], [[staphylococcus]], [[streptococci]], [[syphilis]], [[toxoplasmosis]], [[tuberculous pericarditis]], [[tularemia]], [[varicella]], [[pericarditis|viral pericarditis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Musculoskeletal/ | | '''Musculoskeletal / Ortho''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Cantu syndrome]], [[hypertrichotic osteochondrodysplasia]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Nutritional/Metabolic''' | | '''Nutritional / Metabolic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Malnutrition]], [[congenital disorders of glycosylation]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Obstetric/Gynecologic''' | | '''Obstetric/Gynecologic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Ovarian hyperstimulation syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Oncologic''' | | '''Oncologic''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Breast cancer]], [[carcinoid]], [[fibroma]], [[Kaposi's sarcoma]], [[leukemia]], [[lung cancer]], [[lymphoma]], [[melanoma]], [[mesothelioma]], [[cardiac tumors|neoplasia that has spread to the pericardium]], [[ovarian cancer]], [[sarcoma]], [[Sipple syndrome]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| ''' | | '''Opthalmologic''' | ||
|bgcolor="Beige"| No underlying causes | |bgcolor="Beige"| No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Overdose/Toxicity''' | | '''Overdose / Toxicity''' | ||
|bgcolor="Beige"| No underlying causes | |bgcolor="Beige"| No underlying causes | ||
|- | |- | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Pulmonary''' | | '''Pulmonary''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Bronchogenic cyst]], [[lung cancer]], [[pneumonia]], [[sarcoidosis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Renal/Electrolyte''' | | '''Renal / Electrolyte''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Nephrotic syndrome]], [[renal failure]], [[uremic pericarditis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| ''' | | '''Rheum / Immune / Allergy''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[rheumatic fever|Acute rheumatic fever]], [[amyloidosis]], [[ankylosing spondylitis]], [[Behcet syndrome]], [[collagen vascular disease]], [[Dressler's syndrome]], [[inflammatory bowel disease]], [[Kawasaki disease]], [[mixed connective tissue disease]], [[polyarteritis nodosa]], [[polymyositis]], [[Reiter's syndrome]], [[rheumatic fever|rheumatic pericarditis]], [[rheumatoid arthritis]], [[sarcoidosis]], [[scleroderma]], [[Still's disease]], [[systemic lupus erythematosus]], [[systemic sclerosis]], [[temporal arteritis]], [[Wegener's]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Sexual''' | | '''Sexual''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Neisseria gonorrhoeae]]<ref name="pmid2317408">{{cite journal| author=Wilson J, Zaman AG, Simmons AV| title=Gonococcal arthritis complicated by acute pericarditis and pericardial effusion. | journal=Br Heart J | year= 1990 | volume= 63 | issue= 2 | pages= 134-5 | pmid=2317408 | doi= | pmc=PMC1024342 | url= }} </ref>, [[treponema pallidum]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Trauma''' | | '''Trauma''' | ||
|bgcolor="Beige"| [[chest trauma|Blunt or penetrating chest trauma]], [[esophageal rupture]], [[esophageal rupture|esophogeal perforation]], [[perforation|gastric perforation]], [[fistula|pancreatic-pericardial fistula]] | |||
|- | |||
|-bgcolor="LightSteelBlue" | |||
| '''Urologic''' | |||
|bgcolor="Beige"| No underlying causes | |bgcolor="Beige"| No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| ''' | | '''Dental''' | ||
|bgcolor="Beige"| No underlying causes | |bgcolor="Beige"| No underlying causes | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Miscellaneous''' | | '''Miscellaneous''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Hypoalbuminemia]], [[idiopathic]], [[radiation]] | ||
|- | |- | ||
|} | |} | ||
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{{col-begin|width=80%}} | {{col-begin|width=80%}} | ||
{{col-break|width=33%}} | {{col-break|width=33%}} | ||
*[[Actinomycosis]] | |||
*[[Acute myocardial infarction]] | |||
*[[Acute pancreatitis]] | |||
*[[rheumatic fever|Acute rheumatic fever]] | |||
*[[Addisonian crisis]] | |||
*[[Adenovirus]] | |||
*[[hydatid cyst|Alveolar hydatid disease]] | |||
*[[Amebiasis]] | |||
*[[Amyloidosis]] | |||
*[[Ankylosing spondylitis]] | |||
*[[Anticoagulants]] | |||
*[[Aortic dissection]] | |||
*[[Aortic rupture]] | |||
*[[Asbestosis]] | |||
*[[Aspergillus]] | |||
*[[Pericarditis|Bacterial pericarditis]] | |||
*[[Behcet syndrome]] | |||
*[[Thoracic duct|Benign obstruction of thoracic duct]] | |||
*[[Blastomycosis]] | |||
*[[chest trauma|Blunt or penetrating chest trauma]] | |||
*[[Borrelia]] | |||
*[[Breast cancer]] | |||
*[[Bronchogenic cyst]] | |||
*[[Brucellosis]] | |||
*[[Candida]] | |||
*[[Cantu syndrome]] | |||
*[[Capillary leak syndrome]] | |||
*[[Carcinoid]] | |||
*[[Cardiac catheterization]] | |||
*[[Cardiomyopathy]] | |||
*[[Chemotherapy]] | |||
*[[Chest trauma]] | |||
*[[Cirrhosis of liver]] | |||
*[[Coagulopathy]] | |||
*[[Coccidiomycosis]] | |||
*[[Collagen vascular disease]] | |||
*[[Congenital disorders of glycosylation]] | |||
*[[Congestive heart failure]] | |||
*[[Constrictive pericarditis]] | |||
*[[CABG|Coronary artery bypass grafting]] | |||
*[[Coxsackie B Virus]] | |||
*[[Cytomegalovirus]] | |||
*[[Dantrolene]] | |||
*[[Daunorubicin]] | |||
*[[Dialysis]] | |||
*[[Dilated cardiomyopathy]] | |||
*[[Dissecting aortic aneurysm]] | |||
*[[Doxorubicin]] | |||
*[[Dressler's syndrome]] | |||
*[[Ebstein-Barr virus]] | |||
*[[Echinococcus]] | |||
*[[Echovirus]] | |||
{{col-break|width=33%}} | |||
*[[Entamoeba histolytica]] | |||
*[[Escherichia coli]] | |||
*[[Esophageal rupture]] | |||
*[[esophageal rupture|Esophogeal perforation]] | |||
*[[Fibroma]] | |||
*[[Francisella]] | |||
*[[pericarditis|Fungal pericarditis]] | |||
*[[perforation|Gastric perforation]] | |||
*[[Gaucher disease]] | |||
*[[Haemophilus influenza]] | |||
*[[Heart surgery]] | |||
*[[Hepatitis B]] | |||
*[[Histoplasmosis]] | |||
*[[Hydralazine]] | |||
*[[pericarditis|Hypersensitivity pericarditis with eosinophilia]] | |||
*[[Hypertrichotic osteochondrodysplasia]] | |||
*[[Hypoalbuminemia]] | |||
*[[Hypothyroidism]] | |||
*[[Idiopathic]] | |||
*[[Infection]] | |||
*[[Inflammatory bowel disease]] | |||
*[[Influenza]] | |||
*[[Isoniazid]] | |||
*[[Jacobsen syndrome|Jacobs arthropathy-camptodactyly syndrome]] | |||
*[[Kaposi sarcoma]] | |||
*[[Kaposi's sarcoma]] | |||
*[[Kawasaki disease]] | |||
*[[Klebsiella]] | |||
*[[Legionella]] | |||
*[[Leukemia]] | |||
*[[Lung cancer]] | |||
*[[Lupus]] | |||
*[[Lyme disease]] | |||
*[[Lymphoma]] | |||
*[[Malnutrition]] | |||
*[[Melanoma]] | |||
*[[Meningococci]] | |||
*[[Mesothelioma]] | |||
*[[Minoxidil]] | |||
*[[Mixed connective tissue disease]] | |||
*[[Mulibrey nanism|Mulibrey nanism syndrome]] | |||
*[[Mumps]] | |||
*[[Mycobacterium tuberculosis]] | |||
*[[mycoplasma|Mycoplasma pnuemonia]] | |||
*[[Myocardial rupture]] | |||
*[[Myxedema]] | |||
*[[Neisseria]] | |||
*[[cardiac tumors|Neoplasia that has spread to the pericardium]] | |||
*[[Nephrotic syndrome ]] | |||
*[[Nocardia]] | |||
*[[Ovarian cancer]] | |||
*[[Ovarian hyperstimulation syndrome]] | |||
{{col-break|width=33%}} | |||
*[[fistula|Pancreatic-pericardial fistula]] | |||
*[[Penicillin]] | |||
*[[PCI|Percutaneous interventional procedures]] | |||
*[[Pericarditis]] | |||
*[[Phenylbutazone]] | |||
*[[Phenytoin]] | |||
*[[Pneumococci]] | |||
*[[Pneumonia]] | |||
*[[Polyarteritis nodosa]] | |||
*[[Polymyositis]] | |||
*[[Radiation injury|Postirradiation]] | |||
*[[Postpericardiotomy syndrome]] | |||
*[[Procainamide]] | |||
*[[Proteus]] | |||
*[[Pseudomonas]] | |||
*[[pericarditis|Pyogenic pericarditis]] | |||
*[[Radiation]] | |||
*[[Recurrent hereditary polyserositis]] | |||
*[[Reiter's syndrome]] | |||
*[[Renal failure]] | |||
*[[Rheumatic fever]] | |||
*[[rheumatic fever|Rheumatic pericarditis]] | |||
*[[Rheumatoid arthritis]] | |||
*[[Rickettsia]] | |||
*[[Salmonella]] | |||
*[[Sarcoidosis]] | |||
*[[Sarcoma]] | |||
*[[Scleroderma]] | |||
*[[Scorpion sting]] | |||
*[[Scrub typhus]] | |||
*[[Silicosis]] | |||
*[[Sipple syndrome]] | |||
*[[Staphylococcus]] | |||
*[[Still's disease]] | |||
*[[Streptococci]] | |||
*[[Syphilis]] | |||
*[[Systemic lupus erythematosus ]] | |||
*[[Systemic sclerosis]] | |||
*[[TAVI]] | |||
*[[Temporal arteritis]] | |||
*[[Thoracic surgery]] | |||
*[[Toxoplasmosis]] | |||
*[[Treponema pallidum]] | |||
*[[Tuberculous pericarditis]] | |||
*[[Tularemia]] | |||
*[[Uremic pericarditis]] | |||
*[[Valvuloplasty]] | |||
*[[Varicella]] | |||
*[[Ventricular aneurysm]] | |||
*[[Pericarditis|Viral pericarditis]] | |||
*[[Wegener's]] | |||
*[[Whipple's]] | |||
{{col-end}} | {{col-end}} | ||
Revision as of 22:33, 28 January 2014
Cardiac tamponade Microchapters |
Diagnosis |
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Treatment |
Case Studies |
Cardiac tamponade causes On the Web |
American Roentgen Ray Society Images of Cardiac tamponade causes |
Risk calculators and risk factors for Cardiac tamponade causes |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Varun Kumar, M.B.B.S.
Overview
Cardiac tamponade is caused by the accumulation of a large or uncontrolled pericardial effusion. [1] The effusion can occur rapidly (as in the case of trauma or myocardial rupture), or over a more gradual period of time (as in cancer). The fluid involved is often blood, but pus is also found in some circumstances. [2] Common causes of increased pericardial effusion include hypothyroidism, trauma (either penetrating trauma involving the pericardium or blunt chest trauma), pericarditis (inflammation of the pericardium), iatrogenic trauma (during an invasive procedure), and ventricular rupture.
Causes
Life Threatening Causes
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
- Acute myocardial infarction
- Aortic dissection
- Aortic rupture
- Myocardial rupture
- Rupture of ventricular aneurysm
- Uremic pericarditis
Common Causes
- Acute myocardial infarction
- Aortic dissection
- Aortic rupture
- Bacterial pericarditis
- Cardiac catheterization
- Cardiomyopathy
- Chemotherapy
- Chest trauma
- Collagen vascular disease
- Congestive heart failure
- Dressler's syndrome
- Neoplasm
- Postpericardiotomy syndrome
- Postirradiation
- Rheumatic pericarditis
- Tuberculous pericarditis
- Uremic pericarditis
- Viral pericarditis
Causes by Organ System
Causes in Alphabetical Order
References
- ↑ Mattson Porth, C. (Ed.) (2005) (7th Ed.) Pathophysiology: Concepts of Altered Health States. Philadelphia : Lippincott Williams & Wilkins ISBN 978-0781749886
- ↑ Mattson Porth, C. (Ed.) (2005) (7th Ed.) Pathophysiology: Concepts of Altered Health States. Philadelphia : Lippincott Williams & Wilkins ISBN 978-0781749886
- ↑ Scarlett JA, Kistner ML, Yang LC (1979). "Behçet's syndrome. Report of a case associated with pericardial effusion and cryoglobulinemia treated with indomethacin". Am J Med. 66 (1): 146–8. PMID 420242.
- ↑ Garewal HS, Uhlmann RF, Bennett RM (1981). "Pericardial effusion in association with giant cell arteritis". West J Med. 134 (1): 71–2. PMC 1272467. PMID 7210667.
- ↑ Wilson J, Zaman AG, Simmons AV (1990). "Gonococcal arthritis complicated by acute pericarditis and pericardial effusion". Br Heart J. 63 (2): 134–5. PMC 1024342. PMID 2317408.