<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0872-671X</journal-id>
<journal-title><![CDATA[Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Medicina Interna]]></abbrev-journal-title>
<issn>0872-671X</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0872-671X2021000300015</article-id>
<article-id pub-id-type="doi">10.24950/o/15/21/3/2021</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Pericardiocenteses: 7 Anos de Experiência]]></article-title>
<article-title xml:lang="en"><![CDATA[Pericardiocentesis: 7 Years of Experience]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gomes]]></surname>
<given-names><![CDATA[Rodolfo Viríssimo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Picado]]></surname>
<given-names><![CDATA[Bárbara de Sousa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sousa]]></surname>
<given-names><![CDATA[Manuel de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meneses-Oliveira]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Beatriz Ângelo Serviço de Medicina Interna ]]></institution>
<addr-line><![CDATA[Loures ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Beatriz Ângelo Serviço de Medicina Intensiva ]]></institution>
<addr-line><![CDATA[Loures ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>28</volume>
<numero>3</numero>
<fpage>15</fpage>
<lpage>24</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0872-671X2021000300015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0872-671X2021000300015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0872-671X2021000300015&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A pericardiocentese é uma técnica valiosa no diagnóstico e tratamento de doentes com derrame pericárdico, já tendo sido testados vários métodos para reduzir complicações e aumentar a taxa de sucesso deste procedimento. O objectivo deste estudo foi avaliar o sucesso do procedimento, utilização de ecocardiograma, taxa de complicações e utilidade para o estudo etiológico de doentes com derrame pericárdico.  Material e Métodos:  Análise retrospectiva de 55 pericardiocenteses realizadas em 48 doentes entre Janeiro de 2013 e Dezembro de 2019 numa Unidade de Cuidados Intensivos de um hospital periférico.  Resultados e Discussão:  O procedimento foi assistido por ecocardiograma em 64% dos casos, tendo sido verificada uma taxa de sucesso de 100%, de complicações de 9,1% e de recorrência de 12,7%. Verificou-se maior número de punções necessárias para o sucesso, maior taxa de complicações e maior gravidade destas quando a pericardiocentese não foi guiada por ecocardiograma, o que explica outcomes piores face a outras séries realizadas sempre com apoio eco-cardiográfico. A análise citoquímica do líquido pericárdico não permitiu extrapolar os critérios de Light do derrame pleural, no entanto verificou-se uma tendência para associação entre casos clássicos de exsudado (neoplasia e infecção) e LDH elevado no líquido pericárdico; ADA&gt;50 U/L foi muito específico para derrame pericárdico de origem tuberculosa. A etiologia mais comum foi neoplásica (33%, n = 16), com uma sobrevida média de 5,7 meses nestes doentes, comparando com 21,6 meses nas outras causas.  Conclusão:  A pericardiocentese guiada por ecocardiograma teve uma elevada taxa de sucesso associada a menor percentagem de complicações, pelo que se defende a sua utilização em todos os procedimentos. Esta técnica tem um principal objectivo terapêutico nos derrames moderados a graves, visto que não foi possível obter critérios suficientemente úteis para estabelecer um diagnóstico etiológico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Pericardiocentesis is a valuable technique to diagnose and treat patients with pericardial effusion, and several methods have already been tested to reduce complication and increase success rates of this procedure. The aim of this study was to evaluate procedure success, use of echocardiogram, complications rate and usefulness for etiologic study of patients with pericardial effusion.  Material and Methods:  Retrospective analysis of 55 pe-ricardiocentesesis performed on 48 patients between Ja-nuary 2013 and December 2019 in an Intensive Care Unit from a peripheral hospital.  Results and Discussion:  It was assisted by echocardio-graphy in 64% of cases, with a 100% success rate, 9.1% complications rate, and 12.7% recurrence rate. There was a greater number of punctures necessary for success, a higher rate of complications and greater severity of them when pericardiocenteses was not guided by echocardiography, which explains worse outcomes when compared to other series where echocardiography was used in every single procedure. Pericardial fluid analysis did not allow extrapolating Light criteria for pleural effusion, however there was a tendency for an association between classic exudate cases (neoplasia and infection) and higher LDH in pericardial fluid; ADA&gt;50 U/L was very specific for tuberculous pericardial effusion. Most common etiology was neoplastic (33%, n = 16), with an average survival of 5.7 months in these patients, compared with 21.6 months in other causes.  Conclusion:  Echocardiogram-guided pericardiocente-ses had a high success rate associated with a lower percentage of complications, which is why its use in all procedures is advocated. This technique has a main therapeutic goal in moderate to severe effusions, since it was not possible to obtain useful criteria to establish an etiological diagnosis.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Derrame Pericárdico]]></kwd>
<kwd lng="pt"><![CDATA[Ecocardiograma]]></kwd>
<kwd lng="pt"><![CDATA[Pericardiocentese]]></kwd>
<kwd lng="pt"><![CDATA[Tamponamento Cardíaco.]]></kwd>
<kwd lng="en"><![CDATA[Cardiac Tamponade]]></kwd>
<kwd lng="en"><![CDATA[Echocardiography]]></kwd>
<kwd lng="en"><![CDATA[Pericardial Effusion]]></kwd>
<kwd lng="en"><![CDATA[Pericardiocentesis.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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