Dyspnoea with normal B-type natriuretic peptide level: Don't Miss cardiac tamponade! A case report

Mohamad Jihad Mansour; Wael A. AlJaroudi; Omar M. Hamoui; Elie J. Chammas

doi:10.1093/ehjcr/ytx003

Dyspnoea with normal B-type natriuretic peptide level: Don't Miss cardiac tamponade! A case report

Mohamad Jihad Mansour, Wael A. AlJaroudi, Omar M. Hamoui, Elie J. Chammas

Research output: Contribution to journal › Article › peer-review

Abstract

A 78-year-old female patient with a medical history of severe aortic stenosis and metastatic ovarian cancer with liver and right iliac bone metastases was admitted for dyspnoea that started during the same day. Six months ago, she was diagnosed with acute heart failure with a B-type natriuretic peptide (BNP) level at 682 pg/mL. Upon presentation, she was hypotensive (85/55 mmHg) and tachycardic (114 b.p.m.). Her BNP level was 278 pg/mL. A bedside echocardiogram showed a large pericardial effusion that was successfully drained. Ten days later, BNP was repeated and was 1147 pg/mL. The pseudonormalization of BNP level was due to the impaired ventricular stretching caused by the chronic cardiac tamponade.

Original language	English (US)
Journal	European Heart Journal - Case Reports
Volume	1
Issue number	1
DOIs	https://doi.org/10.1093/ehjcr/ytx003
State	Published - Aug 1 2017
Externally published	Yes

Keywords

B-type natriuretic peptide
Case report
Heart failure
Tamponade

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1093/ehjcr/ytx003

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title = "Dyspnoea with normal B-type natriuretic peptide level: Don't Miss cardiac tamponade! A case report",

abstract = "A 78-year-old female patient with a medical history of severe aortic stenosis and metastatic ovarian cancer with liver and right iliac bone metastases was admitted for dyspnoea that started during the same day. Six months ago, she was diagnosed with acute heart failure with a B-type natriuretic peptide (BNP) level at 682 pg/mL. Upon presentation, she was hypotensive (85/55 mmHg) and tachycardic (114 b.p.m.). Her BNP level was 278 pg/mL. A bedside echocardiogram showed a large pericardial effusion that was successfully drained. Ten days later, BNP was repeated and was 1147 pg/mL. The pseudonormalization of BNP level was due to the impaired ventricular stretching caused by the chronic cardiac tamponade.",

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AU - Hamoui, Omar M.

AU - Chammas, Elie J.

N1 - Publisher Copyright: © The Author 2017.

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Y1 - 2017/8/1

N2 - A 78-year-old female patient with a medical history of severe aortic stenosis and metastatic ovarian cancer with liver and right iliac bone metastases was admitted for dyspnoea that started during the same day. Six months ago, she was diagnosed with acute heart failure with a B-type natriuretic peptide (BNP) level at 682 pg/mL. Upon presentation, she was hypotensive (85/55 mmHg) and tachycardic (114 b.p.m.). Her BNP level was 278 pg/mL. A bedside echocardiogram showed a large pericardial effusion that was successfully drained. Ten days later, BNP was repeated and was 1147 pg/mL. The pseudonormalization of BNP level was due to the impaired ventricular stretching caused by the chronic cardiac tamponade.

AB - A 78-year-old female patient with a medical history of severe aortic stenosis and metastatic ovarian cancer with liver and right iliac bone metastases was admitted for dyspnoea that started during the same day. Six months ago, she was diagnosed with acute heart failure with a B-type natriuretic peptide (BNP) level at 682 pg/mL. Upon presentation, she was hypotensive (85/55 mmHg) and tachycardic (114 b.p.m.). Her BNP level was 278 pg/mL. A bedside echocardiogram showed a large pericardial effusion that was successfully drained. Ten days later, BNP was repeated and was 1147 pg/mL. The pseudonormalization of BNP level was due to the impaired ventricular stretching caused by the chronic cardiac tamponade.

KW - B-type natriuretic peptide

KW - Case report

KW - Heart failure

KW - Tamponade

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Dyspnoea with normal B-type natriuretic peptide level: Don't Miss cardiac tamponade! A case report

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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