Syncope and undifferentiated shock. Issue 2 (10th March 2021)

• Record Type: Journal Article
• Authors: Trotzky, Daniel; Amer, Ali; Fraij, Salha; Fordham, Daniel E.; Granovsky, Gregory; Aizik, Uri; Carady, Natali; Cohen, Aya; Fuchs, Shmuel; Mengesha, Bethlehem; Burgsdorf, Oleg; Yofik, Inna; Naimark, Ari; Baruch, Inbal; Barac, Yaron D.; Pachys, Gal
• Is Part Of: Australasian journal of ultrasound in medicine. Volume 24:Issue 2(2021)
• Page Start: 99
• Page End: 101
• Publication Date: 2021-03-10
• Subjects: Ultrasonics in medicine -- Periodicals; Ultrasonic imaging -- Periodicals; Ultrasonic imaging; Ultrasonics in medicine; Periodicals; 616.075430
• DOI: 10.1002/ajum.12241
• Languages: English
• ISSNs: 1836-6864

Abstract

Abstract: Ventricular free wall rupture is a rare post myocardial complication with a high associated mortality. In this article we discuss the case of an elderly patient who presented to our emergency department in shock after an episode of syncope. Using Point Of Care Ultrasound (POCUS), identification of cardiac tamponade and pericardial thrombus was possible, signs indicating a diagnosis of free wall rupture. Early initiation of transfer proceedings to a tertiary cardio‐thoracic unit was therefore possible, resulting in a positive patient outcome.