{"id":"https://openalex.org/W7214638680","doi":"https://doi.org/10.7759/cureus.117064","title":"Diagnostic Challenges of Regional Cardiac Tamponade in a Severely Volume-Overloaded Dialysis Patient: The Role of Multimodality Imaging","display_name":"Diagnostic Challenges of Regional Cardiac Tamponade in a Severely Volume-Overloaded Dialysis Patient: The Role of Multimodality Imaging","publication_year":2026,"publication_date":"2026-09-28","ids":{"openalex":"https://openalex.org/W7214638680","doi":"https://doi.org/10.7759/cureus.117064","pmid":"https://pubmed.ncbi.nlm.nih.gov/42953626","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13714863"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.117064","doi":"https://doi.org/10.7759/cureus.117064","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117064","pdf_url":"https://www.cureus.com/articles/534686-diagnostic-challenges-of-regional-cardiac-tamponade-in-a-severely-volume-overloaded-dialysis-patient-the-role-of-multimodality-imaging.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/534686-diagnostic-challenges-of-regional-cardiac-tamponade-in-a-severely-volume-overloaded-dialysis-patient-the-role-of-multimodality-imaging.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5119664935","display_name":"Alireza Izadian Bidgoli","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I893474871","display_name":"American University of the Caribbean School of Medicine","ror":"https://ror.org/02hnxxp83","country_code":"SX","type":"education","lineage":["https://openalex.org/I893474871"]}],"countries":["SX"],"is_corresponding":true,"raw_author_name":"Alireza Izadian Bidgoli","raw_affiliation_strings":["Internal Medicine, American University of the Caribbean School of Medicine, Miami, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, American University of the Caribbean School of Medicine, Miami, USA","institution_ids":["https://openalex.org/I893474871"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5133407105","display_name":"Alberto Gomez Veliz","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802864460","display_name":"Jackson Memorial Hospital","ror":"https://ror.org/02y070a55","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802864460","https://openalex.org/I4210089954"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alberto Gomez Veliz","raw_affiliation_strings":["Internal Medicine, Jackson Memorial Hospital, Miami, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, Jackson Memorial Hospital, Miami, USA","institution_ids":["https://openalex.org/I2802864460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5143534619","display_name":"Angela C Gallagher","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I893474871","display_name":"American University of the Caribbean School of Medicine","ror":"https://ror.org/02hnxxp83","country_code":"SX","type":"education","lineage":["https://openalex.org/I893474871"]}],"countries":["SX"],"is_corresponding":false,"raw_author_name":"Angela C Gallagher","raw_affiliation_strings":["Internal Medicine, American University of the Caribbean School of Medicine, Miami, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, American University of the Caribbean School of Medicine, Miami, USA","institution_ids":["https://openalex.org/I893474871"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5143587670","display_name":"Alberto Gomez Usatorres","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Alberto Gomez Usatorres","raw_affiliation_strings":["Internal Medicine, Universidad Hispanoamericana, San Jos\u00e9, CRI"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, Universidad Hispanoamericana, San Jos\u00e9, CRI","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5144351860","display_name":"Hellen Ailette Gomez Usatorres","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Hellen Ailette Gomez Usatorres","raw_affiliation_strings":["Internal Medicine, Universidad Hispanoamericana, San Jos\u00e9, CRI"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Internal Medicine, Universidad Hispanoamericana, San Jos\u00e9, CRI","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5119664935"],"corresponding_institution_ids":["https://openalex.org/I893474871"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.71295792,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"9","first_page":"e117064","last_page":"e117064"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12291","display_name":"Pericarditis and Cardiac Tamponade","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12291","display_name":"Pericarditis and Cardiac Tamponade","score":0.9984999895095825,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11738","display_name":"Ultrasound in Clinical Applications","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2706","display_name":"Critical Care and Intensive Care Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11638","display_name":"Cardiac tumors and thrombi","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/dialysis-patients","display_name":"dialysis patients","score":0.5400000214576721},{"id":"https://openalex.org/keywords/end-stage-renal-disease","display_name":"end-stage renal disease","score":0.722000002861023},{"id":"https://openalex.org/keywords/pericardial-effusion","display_name":"pericardial effusion","score":0.8349999785423279},{"id":"https://openalex.org/keywords/right-ventricular-compression","display_name":"right ventricular compression","score":0.7559999823570251},{"id":"https://openalex.org/keywords/inferior-vena-cava-dilation","display_name":"inferior vena cava dilation","score":0.7540000081062317},{"id":"https://openalex.org/keywords/transesophageal-echocardiography","display_name":"transesophageal echocardiography","score":0.9070000052452087},{"id":"https://openalex.org/keywords/pericardial-window","display_name":"pericardial window","score":0.6119999885559082},{"id":"https://openalex.org/keywords/surgical-decompression","display_name":"surgical decompression","score":0.7080000042915344},{"id":"https://openalex.org/keywords/pleural-effusion","display_name":"pleural effusion","score":0.6769999861717224},{"id":"https://openalex.org/keywords/sinus-tachycardia","display_name":"sinus tachycardia","score":0.8119999766349792},{"id":"https://openalex.org/keywords/vasopressor-requirement","display_name":"vasopressor requirement","score":0.6819999814033508}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9829000234603882},{"id":"https://openalex.org/C2778607678","wikidata":"https://www.wikidata.org/wiki/Q929313","display_name":"Cardiac tamponade","level":2,"score":0.7232999801635742},{"id":"https://openalex.org/C2780910867","wikidata":"https://www.wikidata.org/wiki/Q1952416","display_name":"Multimodality","level":2,"score":0.6579999923706055},{"id":"https://openalex.org/C2779978075","wikidata":"https://www.wikidata.org/wiki/Q202301","display_name":"Dialysis","level":2,"score":0.5558000206947327},{"id":"https://openalex.org/C2776127602","wikidata":"https://www.wikidata.org/wiki/Q5038319","display_name":"Cardiac imaging","level":2,"score":0.4975000023841858},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.44699999690055847},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.41029998660087585},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.3734000027179718},{"id":"https://openalex.org/C2777573719","wikidata":"https://www.wikidata.org/wiki/Q488585","display_name":"Tamponade","level":2,"score":0.34940001368522644},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.33320000767707825},{"id":"https://openalex.org/C2781454130","wikidata":"https://www.wikidata.org/wiki/Q656261","display_name":"Dialysis catheter","level":3,"score":0.31949999928474426},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.28760001063346863},{"id":"https://openalex.org/C31601959","wikidata":"https://www.wikidata.org/wiki/Q931309","display_name":"Medical imaging","level":2,"score":0.28130000829696655},{"id":"https://openalex.org/C2778063415","wikidata":"https://www.wikidata.org/wiki/Q391744","display_name":"Hemodialysis","level":2,"score":0.275299996137619},{"id":"https://openalex.org/C2778653478","wikidata":"https://www.wikidata.org/wiki/Q1054718","display_name":"Kidney disease","level":2,"score":0.2513999938964844}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.117064","doi":"https://doi.org/10.7759/cureus.117064","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117064","pdf_url":"https://www.cureus.com/articles/534686-diagnostic-challenges-of-regional-cardiac-tamponade-in-a-severely-volume-overloaded-dialysis-patient-the-role-of-multimodality-imaging.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13714863","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13714863/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13714863/pdf/cureus-0018-00000117064.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"},{"id":"pmid:42953626","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42953626","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Case Reports"}],"best_oa_location":{"id":"doi:10.7759/cureus.117064","doi":"https://doi.org/10.7759/cureus.117064","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117064","pdf_url":"https://www.cureus.com/articles/534686-diagnostic-challenges-of-regional-cardiac-tamponade-in-a-severely-volume-overloaded-dialysis-patient-the-role-of-multimodality-imaging.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7214638680.pdf","grobid_xml":"https://content.openalex.org/works/W7214638680.grobid-xml"},"referenced_works_count":12,"referenced_works":["https://openalex.org/W2984336917","https://openalex.org/W3036882130","https://openalex.org/W3126056544","https://openalex.org/W3155218013","https://openalex.org/W4220697926","https://openalex.org/W4377097369","https://openalex.org/W4381848697","https://openalex.org/W4383373905","https://openalex.org/W4413804311","https://openalex.org/W7134914209","https://openalex.org/W7163682007","https://openalex.org/W7169650834"],"related_works":["https://openalex.org/W2430030390","https://openalex.org/W2002290393","https://openalex.org/W3022944252","https://openalex.org/W2070304696","https://openalex.org/W2884803444","https://openalex.org/W2409581737","https://openalex.org/W4415793517","https://openalex.org/W4303987081","https://openalex.org/W2080568451","https://openalex.org/W4415790949"],"abstract_inverted_index":{"Localized":[0],"postoperative":[1,133],"cardiac":[2,202],"tamponade":[3,103,203],"is":[4],"an":[5,72,107],"uncommon":[6],"clinical-hemodynamic":[7],"syndrome":[8],"that":[9,193,206],"may":[10],"occur":[11],"without":[12],"the":[13,122,136,167,213],"classic":[14,101],"findings":[15,104,208],"of":[16,42,129],"circumferential":[17],"tamponade.":[18,134],"We":[19],"present":[20],"a":[21,84,127,157],"22-year-old":[22],"man":[23],"with":[24,121],"dialysis-dependent":[25],"kidney":[26],"failure":[27],"and":[28,55,65,83,139,169,176,186,204,216],"multiple":[29],"recent":[30],"cardiothoracic":[31],"operations":[32],"who":[33],"was":[34,164],"admitted":[35],"because":[36],"persistent":[37],"sinus":[38],"tachycardia":[39],"prevented":[40],"completion":[41],"hemodialysis.":[43],"Despite":[44],"profound":[45,194],"total-body":[46,195],"volume":[47,187,196],"overload":[48,188,197],"manifested":[49],"by":[50,148],"anasarca,":[51],"pulmonary":[52],"edema,":[53],"ascites,":[54],"recurrent":[56],"pleural":[57,171],"effusions,":[58],"he":[59,151],"developed":[60],"progressive":[61],"hypotension,":[62],"respiratory":[63,184],"compromise,":[64],"increasing":[66],"vasopressor":[67,181],"requirements.":[68],"Computed":[69],"tomography":[70],"demonstrated":[71],"enlarging":[73],"loculated":[74],"pericardial":[75,109,159,168],"collection.":[76],"Transthoracic":[77],"echocardiography":[78,97],"showed":[79],"right":[80,113,170],"ventricular":[81],"compression":[82],"dilated,":[85],"non-collapsing":[86],"inferior":[87],"vena":[88],"cava,":[89],"raising":[90],"concern":[91],"for":[92],"obstructive":[93],"physiology.":[94],"Intraoperative":[95],"transesophageal":[96],"did":[98],"not":[99,199],"demonstrate":[100],"global":[102],"but":[105],"identified":[106],"organized":[108,137],"collection":[110,138],"causing":[111],"focal":[112],"atrial":[114],"impingement.":[115],"The":[116],"patient's":[117],"clinical":[118,215],"deterioration,":[119],"combined":[120],"multimodality":[123],"imaging":[124],"findings,":[125],"supported":[126],"diagnosis":[128],"clinically":[130],"significant":[131],"regional":[132,201],"Because":[135],"extensive":[140],"adhesions":[141],"were":[142],"unlikely":[143],"to":[144],"be":[145,210],"adequately":[146],"treated":[147],"percutaneous":[149],"drainage,":[150],"underwent":[152],"urgent":[153],"surgical":[154],"decompression":[155,175],"through":[156],"repeat":[158],"window.":[160],"Approximately":[161],"680":[162],"mL":[163],"drained":[165],"from":[166],"spaces":[172],"combined.":[173],"Following":[174],"controlled":[177],"renal":[178],"replacement":[179],"therapy,":[180],"requirements,":[182],"tachycardia,":[183],"status,":[185],"improved.":[189],"This":[190],"case":[191],"demonstrates":[192],"does":[198],"exclude":[200],"emphasizes":[205],"echocardiographic":[207],"must":[209],"interpreted":[211],"within":[212],"overall":[214],"hemodynamic":[217],"context.":[218]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-09-29T00:00:00"}