Exam questionKROK 2Medicine ยท 2014
4 weeks after a myocardial infarction, a 56-year-old male 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- 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
- Oxygen inhalation
- Conservative treatment, infusion of adrenomimetics
- Pericardiocentesis and immediate thoracotomy
- Puncture of the pleural cavity on the left
- Pleural cavity drainage
Correct answer
Pericardiocentesis and immediate thoracotomy
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