{"pk":16874,"title":"Hemopericardium and Cardiac Tamponade in a Patient with an Elevated International Normalized Ratio","subtitle":null,"abstract":"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.]","language":"en","license":{"name":"none","short_name":"none","text":"","url":"http://google.com"},"keywords":[{"word":"hemopericardium"},{"word":"Tamponade"},{"word":"anticoagulation"},{"word":"ultrasound"}],"section":"Article","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0n0525k4","frozenauthors":[{"first_name":"Joel","middle_name":"T","last_name":"Levis","name_suffix":"","institution":"Kaiser Santa Clara Medical Center, Department of Emergency Medicine, Santa Clara, CA","department":"None"},{"first_name":"Mucio","middle_name":"C","last_name":"Delgado","name_suffix":"","institution":"Stanford-Kaiser Emergency Medicine Residency Program","department":"None"}],"date_submitted":"2008-05-09T07:00:00Z","date_accepted":"2008-05-09T07:00:00Z","date_published":"2009-05-01T07:00:00Z","render_galley":null,"galleys":[{"label":"","type":"pdf","path":"https://journalpub.escholarship.org/westjem/article/16874/galley/8547/download/"}]}