Acute Hemorrhagic Cardiac Tamponade as Presenting Findings of Transmural Myocardial Infarction in an Adult Patient

Abstract

Electrocardiograph on admission showed ST-segment elevation myocardial infarction (STEMI) with inferior wall, examination showed cardiogenic shock, noninvasive blood pressure (NIBP) 50/30 mmHg (1 mmHg = 0.133 kPa), and cardiac troponin I positive. The predictors of cardiac tamponade in STEMI patients include lateral site, increasing age, increasing number of leads involved, lack of reperfusion therapy, and late hospital admission. [3] The mechanism of AHPT may be related to diffuse hemorrhagic pericarditis after infarction,[2] as the patient...