Abstract
Pericardiocentesis (PC) is a life-saving procedure in patients presenting with cardiac tamponade. 1 Lazaros G. Imazio M. Brucato A. Tousoulis D Untying the Gordian knot of pericardial diseases: a pragmatic approach. Hellenic J Cardiol. 2016; 57: 315-322 Crossref PubMed Scopus (25) Google Scholar ,2 Adler Y. Charron P. Imazio M. et al. 2015 ESC Guidelines for the diagnosis and management of pericardial diseases. Eur Heart J. 2015; 36: 2921-2964 Crossref PubMed Scopus (697) Google Scholar According to the 2015 European Society of Cardiology (ESC) Guidelines for the diagnosis and management of pericardial diseases, apart from cardiac tamponade, PC should be also performed in cases of bacterial pericarditis (including tuberculous etiology) and when neoplastic pericarditis is suspected. 2 Adler Y. Charron P. Imazio M. et al. 2015 ESC Guidelines for the diagnosis and management of pericardial diseases. Eur Heart J. 2015; 36: 2921-2964 Crossref PubMed Scopus (697) Google Scholar Finally, PC should be considered in order to obtain an etiological diagnosis in asymptomatic patients with chronic C-reactive protein (CRP)-negative large pericardial effusion (PEF) of yet unknown etiology despite thorough work-up. 2 Adler Y. Charron P. Imazio M. et al. 2015 ESC Guidelines for the diagnosis and management of pericardial diseases. Eur Heart J. 2015; 36: 2921-2964 Crossref PubMed Scopus (697) Google Scholar
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