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Exam questionKROK 2Medicine ยท 2013

4 weeks after myocardial infarction a 56-year-old patient developed acute heart pain, pronounced dyspnea. Objectively: the patient's condition is extremely grave, there is marked cyanosis of face, swelling and throbbing of neck veins, peripheral pulse is absent, the carotid artery pulse is rhythmic, 130 bpm, AP is 60/20 mm Hg. Auscultation of heart reveals extremely muffled sounds, percussion reveals heart border extension in both directions. What is the optimal treatment tactic for this patient

Answer options

  1. Conservative treatment, infusion of adrenomimetics
  2. Pleural cavity drainage
  3. Oxygen inhalation
  4. Pericardiocentesis and immediate thoracotomy
  5. Puncture of the pleural cavity on the left
Correct answer

Pericardiocentesis and immediate thoracotomy

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