An Apparent Large Pericardial Effusion: A Consequence of Dual Antiplatelet Therapy or an Entirely Different Diagnosis?

A 71-YEAR-OLD, 67 kg, 170 cm man presented to the authors ’ institution for evaluation of atypical chest pain of 6 months duration. The patient described his chest discomfort as relatively mild. It seldomly persisted for more than a few seconds; was confined to the left chest without radiation; and was not related to activity, position, or breathing. He denied dysphagia, odynophagia, and symptoms of gastroesophageal reflux disease. The patient had a history of chronic atrial fibrillation and peripheral vascular disease for which he received chronic dual antiplatelet therapy (apixaban and clopidogrel).
Source: Journal of Cardiothoracic and Vascular Anesthesia - Category: Anesthesiology Authors: Tags: Diagnostic Dilemma Source Type: research

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Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
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Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
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Publication date: December 2019Source: British Journal of Oral and Maxillofacial Surgery, Volume 57, Issue 10Author(s): Cian Henry, Conor Barry
Source: British Journal of Oral and Maxillofacial Surgery - Category: ENT & OMF Source Type: research
Publication date: December 2019Source: British Journal of Oral and Maxillofacial Surgery, Volume 57, Issue 10Author(s): Ali Malik, Zahra Alassadi, Badrinarayan Srinivasan, Peter Brennan, Rajiv Anand
Source: British Journal of Oral and Maxillofacial Surgery - Category: ENT & OMF Source Type: research
Publication date: December 2019Source: British Journal of Oral and Maxillofacial Surgery, Volume 57, Issue 10Author(s): James Webster, Alice Cameron, Serryth Colbert
Source: British Journal of Oral and Maxillofacial Surgery - Category: ENT & OMF Source Type: research
Publication date: December 2019Source: British Journal of Oral and Maxillofacial Surgery, Volume 57, Issue 10Author(s): Hanna Strang, Salim Miskry, Kathleen Fan
Source: British Journal of Oral and Maxillofacial Surgery - Category: ENT & OMF Source Type: research
Conclusion: ESSA is a highly effective surgical technique for PT patients with transverse–sigmoid sinus enlargement and prominent transverse–sigmoid junction, regardless of whether they also have sigmoid sinus wall or transverse sinus anomalies. A large transverse–sigmoid system with prominent transverse–sigmoid junction is a predisposing factor for PT, and only by improving patients’ intrasinus hemodynamics could PT be resolved efficiently. In cases without complete obstruction of venous return, ESSA is safe. No postoperative complications related to neurological disorders were observed.
Source: Otology and Neurotology - Category: ENT & OMF Tags: MEDICAL NEUROTOLOGY Source Type: research
Conditions:   Hyperalgesia;   Chronic Pain Syndrome;   Chronic Pain, Psychogenic;   Fear of Pain Interventions:   Behavioral: Threat manipulation (control, no threat);   Behavioral: Threat manipulation;   Behavioral: Conditioning of moderate pain;   Behavioral: Conditioning of high pain;   Behavioral: Extinction Sponsors:   Leiden University Medical Center;   Universiteit Leiden;   KU Leuven;   Maastricht University Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
More News: Acid Reflux | Anesthesia | Anesthesiology | Atrial Fibrillation | Cardiology | Chronic Pain | Clopidogrel | Gastroenterology | Gastroesophageal Reflux Disease | GERD | Heart | Pain | Peripheral Vascular Disease (PVD) | Plavix