%0 Journal Article
%T Hemopericardium and Cardiac Tamponade in a Patient with an Elevated International Normalized Ratio
%A Levis
%A Joel T
%A Delgado
%A Mucio C
%J Western Journal of Emergency Medicine : Integrating Emergency Care with Population Health
%D 2009
%I UC Irvine Health School of Medicine.
%X This case report describes a 54-year-old male on warfarin for atrial fibrillation who presented to the emergency department (ED) following a syncopal episode with persistent hypotension. The patient¡¯s International Normalized Ratio (INR) returned elevated at 6.0, and a rapid bedside cardiac ultrasound revealed a large pericardial effusion consistent with cardiac tamponade. The anticoagulation was reversed and the patient underwent successful pericardiocentesis with removal of 1,100 mL of blood. [WestJEM. 2009;10:115-119.]
%K hemopericardium
%K tamponade
%K anticoagulation
%K ultrasound
%U http://escholarship.org/uc/item/0n0525k4