Highlights the risk of hemopericardium and cardiac tamponade in patients receiving anticoagulant therapy following a myocardial infarction.
Alerts clinicians to tamponade risk with post-MI anticoagulation; leaves open need for prospective safety data.
A case of hemopericardium producing cardiac tamponade is reported. The patient, a 50-year-old man, was hospitalized and treated with anticoagulants after a myocardial infarction. On the 19th day after the infarction the symptoms of acute cardiac tamponade were recognized. Medication with bishydroxycoumarin was discontinued and phytonadione administered. Symptoms of cardiac tamponade were relieved by pericardicentesis. The possibility of hemopericardium and cardiac tamponade is pertinent in cases of myocardial infarction.
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J. W. T. Dickerson (1960) studied this question.
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