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Syncope and undifferentiated shock
Author(s) -
Trotzky Daniel,
Amer Ali,
Fraij Salha,
Fordham Daniel E.,
Granovsky Gregory,
Aizik Uri,
Carady Natali,
Cohen Aya,
Fuchs Shmuel,
Mengesha Bethlehem,
Burgsdorf Oleg,
Yofik Inna,
Naimark Ari,
Baruch Inbal,
Barac Yaron D.,
Pachys Gal
Publication year - 2021
Publication title -
australasian journal of ultrasound in medicine
Language(s) - English
Resource type - Journals
eISSN - 2205-0140
pISSN - 1836-6864
DOI - 10.1002/ajum.12241
Subject(s) - medicine , cardiac tamponade , tamponade , complication , shock (circulatory) , syncope (phonology) , emergency department , intensive care unit , cardiogenic shock , cardiology , thrombus , surgery , myocardial infarction , psychiatry
Ventricular free wall rupture is a rare post myocardial complication with a high associated mortality. In this article we discuss the case of an elderly patient who presented to our emergency department in shock after an episode of syncope. Using Point Of Care Ultrasound (POCUS), identification of cardiac tamponade and pericardial thrombus was possible, signs indicating a diagnosis of free wall rupture. Early initiation of transfer proceedings to a tertiary cardio‐thoracic unit was therefore possible, resulting in a positive patient outcome.