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{
    "pk": 415,
    "title": "Sub-acute Tamponade and the Value of Point-of- Care Ultrasound for Rapid Diagnosis: A Case Report",
    "subtitle": null,
    "abstract": "Minoxidil is a strong oral vasodilator that is used to treat patients with hypertension refractoryto first-line medications. We report a case of minoxidil-associated subacute cardiac tamponadediagnosed by point-of-care ultrasound (POCUS) in a hypertensive patient. A 30-year-old male witha past medical history of poorly controlled hypertension (treated with minoxidil) and chronic kidneydisease presented with 2-3 days of chest pain and shortness of breath with markedly elevated bloodpressures. A point-of-care transthoracic echocardiogram revealed a massive pericardial effusion withsonographic tamponade physiology. We review the risk factors for developing pericardial effusionsthat progress to cardiac tamponade, the utility of diagnosing these patients by POCUS, and theincidence of patients who present with sonographic signs of cardiac tamponade without hypotension.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/2016f5bs",
    "frozenauthors": [
        {
            "first_name": "Daniel",
            "middle_name": "C.",
            "last_name": "Kolinsky",
            "name_suffix": "",
            "institution": "Washington University School of Medicine, Department of Emergency Medicine, St. Louis, Missouri",
            "department": "None"
        },
        {
            "first_name": "Albert",
            "middle_name": "J.",
            "last_name": "Kim",
            "name_suffix": "",
            "institution": "Washington University School of Medicine, Department of Emergency Medicine, St. Louis, Missouri",
            "department": "None"
        },
        {
            "first_name": "Enyo",
            "middle_name": "A.",
            "last_name": "Ablordeppey",
            "name_suffix": "",
            "institution": "Washington University School of Medicine, Department of Emergency Medicine, St. Louis, Missouri\nWashington University School of Medicine, Department of Anesthesiology, Division of Critical Care, St. Louis, Missouri",
            "department": "None"
        }
    ],
    "date_submitted": "2017-07-13T18:11:03+02:00",
    "date_accepted": "2017-07-13T18:11:03+02:00",
    "date_published": "2017-07-14T19:00:55+02:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/415/galley/179/download/"
        }
    ]
}