Highlights that pericardial fibrosis in systemic sclerosis may predispose patients to cardiac tamponade even with moderate pericardial effusion.
Alerts clinicians to fibrosis as tamponade risk factor despite moderate effusion in systemic sclerosis; leaves open need for prospective validation.
A patient with limited cutaneous systemic sclerosis (ISSc) is described who presented with acute chest pain, dyspnoea and signs of cardiac tamponade requiring pericardiocentesis although the quantity of effusion was moderate. The haemodynamic data recorded from this patient suggested that pericardial fibrosis may be a major contributing predisposing factor to pericardial tamponade, while the cause of pericarditis and effusion remain obscure.
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Sattar et al. (1990) studied this question.
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