Prabhakar Y, Goyal A, Khalid N, Sharma N, Nayyar R, Spodick DH, Chhabra L. Pericardial decompression syndrome: A comprehensive review. World J Cardiol 2019; 11(12): 282-291 [PMID: 31908728 DOI: 10.4330/wjc.v11.i12.282]
Corresponding Author of This Article
Lovely Chhabra, MD, FACC, Heartland Regional Medical Center, 3331 W. DeYoung St, Marion, IL 62959, United States. lovids@hotmail.com
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Cardiol. Dec 26, 2019; 11(12): 282-291 Published online Dec 26, 2019. doi: 10.4330/wjc.v11.i12.282
Pericardial decompression syndrome: A comprehensive review
Yougeesh Prabhakar, Amandeep Goyal, Nauman Khalid, Nitish Sharma, Raj Nayyar, David H Spodick, Lovely Chhabra
Yougeesh Prabhakar, Raj Nayyar, Lovely Chhabra, Department of Cardiology, Heartland Regional Medical Center, Marion, IL 62959, United States
Amandeep Goyal, Department of Medicine, Marietta Memorial Hospital, Marietta, OH45750, United States
Nitish Sharma, Department of Interventional Cardiology, Medstar Washington Hospital Center, Washington, DC 20010, United States
Nitish Sharma, David H Spodick, Department of Medicine, Saint Vincent Hospital, Worcester, MA 01608, United States
Author contributions: Chhabra L and Spodick DH designed the study concept; Prabhakar Y, Goyal A, Khalid N, Spodick DH and Chhabra L reviewed the data and drafted the review article. Khalid N drafted the illustrative case; Goyal A and Chhabra L designed the schematic illustrations and figure legends; Nayyar R helped with edition of schematic illustrations and literature review; Chhabra L and Spodick DH performed major revisions and approved the final version of the article.
Conflict-of-interest statement: All authors have no any conflicts of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Lovely Chhabra, MD, FACC, Heartland Regional Medical Center, 3331 W. DeYoung St, Marion, IL 62959, United States. lovids@hotmail.com
Telephone: +1-618-9987600 Fax: +1-888-5986647
Received: March 26, 2019 Peer-review started: March 28, 2019 First decision: June 6, 2019 Revised: June 25, 2019 Accepted: November 20, 2019 Article in press: November 20, 2019 Published online: December 26, 2019
Abstract
Pericardial decompression syndrome (PDS) is an infrequent, life-threatening complication following pericardial drainage for cardiac tamponade physiology. PDS usually develops after initial clinical improvement following pericardiocentesis and is significantly underreported and may be overlooked in the clinical practice. Although the precise mechanisms resulting in PDS are not well understood, this seems to be highly associated with patients who have some underlying ventricular dysfunction. Physicians performing pericardial drainage should be mindful of the risk factors associated with the procedure including the rare potential for the development of PDS.
Core tip: Pericardial decompression syndrome (PDS) is an infrequent, life-threatening complication following an uncomplicated pericardial evacuation for cardiac tamponade physiology. Physicians should be familiar with the prevention strategies for PDS and offer vulnerable patients a very close clinical monitoring, especially those undergoing pericardial drainage for large malignant effusions for suspected tamponade.
