Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website http://www.jocmr.org

Case Report

Volume 7, Number 9, September 2015, pages 720-723

A Rare Case of Cardiac Tamponade Induced by Chronic Rheumatoid Arthritis

Figures

Figure 1.
Figure 1. Initial EKG on January 21, 2015 at 9:04 am showing sinus tachycardia, left atrial enlargement and moderate voltage criteria for LVH.
Figure 2.
Figure 2. Initial echo on January 21, 2015 at 4:38 pm in subcostal view demonstrating large pericardial effusion, pericardial thickening and respiratory variations in the size of the left ventricle and inferior vena cava.

Table

Table 1. Pericardial Fluid Analysis
 
Pericardial fluid analysis
pH7.69
Glucose (mg/dL)52
Total protein (g/dL)5.9
Fluid volume (mL)810
Nuc cell Ct (/μL)1,465
Segs81
Lymph10
Monos7
Eos2
ANA titer< 80
Rheumatoid factor (unit/mL)185
C-reactive protein4.4
CCP (unit)122