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The patient was taken emergently to the cath lab for a pericardiocentesis instead of a coronaryangiogram. The post pericardiocentesis impression and plan read: Pericardial effusion / tamponade - hemorrhagic , fairly acute as hemodynamically significant w only 150cc.
Hgb 11g/dL (110g/L) and leukocytosis, and a mildly elevated troponin (36 ng/L, with normal 1mm STE in aVR due to ACS will require coronary artery bypass surgery for revascularization, the infarct artery is often not the LM, but rather the LAD or severe 3-vessel disease. Incidence of an acute coronary occlusion. link] Harhash AA et al.
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