Abstract
A 21-year-old woman with a medical history of epilepsy was admitted to our hospital because of progressive chest pain and dyspnoea for a few days. The chest pain fluctuated with breathing and was aggravated in a supine position. On physical examination a very dyspnoeic woman with a blood pressure of 105/65 mmHg and a heart rate of 140/min was seen. Pulsus paradoxus was absent and the jugular venous pressure was not increased. Besides sinus tachycardia, the electrocardiogram was normal.
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Cauduro SA, Moder KG, Tsang TSM, Seward JB. Clinical and echocardiographic characteristics of hemodynamically significant percardial effusions in patients with systemic lupus erythematosus. Am J Cardiol 2003;92:1370-2.
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St. Antonius Hospital, Nieuwegein, the Netherlands
Correspondence to: B.M. Swinkels, Department of Cardiology, St Antonius Hospital, PO Box 2500, 3430 EM Nieuwegein, the Netherlands
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Swinkels, B.M., Scheffer, R.C.H., Tahapary, G.J.M. et al. Cardiac tamponade as the initial manifestation of systemic lupus erythematosus in a young female patient. NHJL 15, 71 (2007). https://doi.org/10.1007/BF03085958
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DOI: https://doi.org/10.1007/BF03085958