Spontaneous Hemopericardium: A Lesson on Risk-Benefit Profile of Contemporary Oral Anticoagulant Therapy Prompted by an Uncommon Occurrence
Anticoagulation therapy is of paramount importance in atrial fibrillation (AF) because of the substantial risk for stroke associated with high morbidity and mortality. The current therapeutic options include vitamin K antagonists and novel oral anticoagulant agents. Despite meticulous therapy select...
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| Format: | Article |
| Language: | English |
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American College of Physicians
2022-07-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2021.0223 |
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| author | Shivaraj Patil Chaitanya Rojulpote Rafae Shaikh Pranjal Boruah Heiko Schmitt |
| author_facet | Shivaraj Patil Chaitanya Rojulpote Rafae Shaikh Pranjal Boruah Heiko Schmitt |
| author_sort | Shivaraj Patil |
| collection | DOAJ |
| description | Anticoagulation therapy is of paramount importance in atrial fibrillation (AF) because of the substantial risk for stroke associated with high morbidity and mortality. The current therapeutic options include vitamin K antagonists and novel oral anticoagulant agents. Despite meticulous therapy selection, the risk for bleeding remains with all forms of anticoagulation and has infrequently been reported in the form of hemopericardium. We highlight a patient case of an 84-year-old man with a history of permanent atrial fibrillation on warfarin who presented with shortness of breath and was found to have a massive hemopericardium. |
| format | Article |
| id | doaj-art-c3e6ef152baf4a87abfcadd673d63b27 |
| institution | OA Journals |
| issn | 2767-7664 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-c3e6ef152baf4a87abfcadd673d63b272025-08-20T02:12:58ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642022-07-011510.7326/aimcc.2021.0223Spontaneous Hemopericardium: A Lesson on Risk-Benefit Profile of Contemporary Oral Anticoagulant Therapy Prompted by an Uncommon OccurrenceShivaraj Patil0Chaitanya Rojulpote1Rafae Shaikh2Pranjal Boruah3Heiko Schmitt41Department of Cardiology, Einstein Medical Center, Philadelphia, Pennsylvania2Department of Medicine, The Wright Center for Graduate Medical Education, Scranton, Pennsylvania3Department of Medicine, University of Connecticut, Farmington, Connecticut4Department of Cardiology, Geisinger Community Medical Center, Scranton, Pennsylvania5Department of Cardiac Electrophysiology, University of Connecticut, Farmington, ConnecticutAnticoagulation therapy is of paramount importance in atrial fibrillation (AF) because of the substantial risk for stroke associated with high morbidity and mortality. The current therapeutic options include vitamin K antagonists and novel oral anticoagulant agents. Despite meticulous therapy selection, the risk for bleeding remains with all forms of anticoagulation and has infrequently been reported in the form of hemopericardium. We highlight a patient case of an 84-year-old man with a history of permanent atrial fibrillation on warfarin who presented with shortness of breath and was found to have a massive hemopericardium.https://www.acpjournals.org/doi/10.7326/aimcc.2021.0223 |
| spellingShingle | Shivaraj Patil Chaitanya Rojulpote Rafae Shaikh Pranjal Boruah Heiko Schmitt Spontaneous Hemopericardium: A Lesson on Risk-Benefit Profile of Contemporary Oral Anticoagulant Therapy Prompted by an Uncommon Occurrence Annals of Internal Medicine: Clinical Cases |
| title | Spontaneous Hemopericardium: A Lesson on Risk-Benefit Profile of Contemporary Oral Anticoagulant Therapy Prompted by an Uncommon Occurrence |
| title_full | Spontaneous Hemopericardium: A Lesson on Risk-Benefit Profile of Contemporary Oral Anticoagulant Therapy Prompted by an Uncommon Occurrence |
| title_fullStr | Spontaneous Hemopericardium: A Lesson on Risk-Benefit Profile of Contemporary Oral Anticoagulant Therapy Prompted by an Uncommon Occurrence |
| title_full_unstemmed | Spontaneous Hemopericardium: A Lesson on Risk-Benefit Profile of Contemporary Oral Anticoagulant Therapy Prompted by an Uncommon Occurrence |
| title_short | Spontaneous Hemopericardium: A Lesson on Risk-Benefit Profile of Contemporary Oral Anticoagulant Therapy Prompted by an Uncommon Occurrence |
| title_sort | spontaneous hemopericardium a lesson on risk benefit profile of contemporary oral anticoagulant therapy prompted by an uncommon occurrence |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2021.0223 |
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