{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T10:21:32Z","timestamp":1785493292310,"version":"3.56.0"},"reference-count":7,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2016,4,4]],"date-time":"2016-04-04T00:00:00Z","timestamp":1459728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:p>Paradoxical hemodynamic instability (<jats:styled-content style=\"fixed-case\">PHI<\/jats:styled-content>), also called postoperative low cardiac output syndrome (<jats:styled-content style=\"fixed-case\">LCOS<\/jats:styled-content>), is a rare but fatal complication after drainage of a pericardial effusion (<jats:styled-content style=\"fixed-case\">PE<\/jats:styled-content>f). This condition usually develops within hours postprocedure and appears unrelated to the method of drainage. The exact mechanism of this condition is not well understood. We present a case of an 84\u2010year\u2010old patient with no previous cardiac or cancer history who presented with acute shortness of breath (<jats:styled-content style=\"fixed-case\">SOB<\/jats:styled-content>). Computed tomography (<jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content>) ruled out pulmonary embolism and echocardiography confirmed early tamponade. Following emergent subxiphoid pericardiectomy, the patient developed hemodynamic instability and shock and subsequent multiorgan failure. Repeat echocardiography revealed left ventricular (<jats:styled-content style=\"fixed-case\">LV<\/jats:styled-content>) hypercontractility and new right ventricular (<jats:styled-content style=\"fixed-case\">RV<\/jats:styled-content>) dilatation with akinesis. The patient's condition continued to deteriorate in spite of maximal doses of pressors. The patient died after the family's request to discontinue further extraordinary measures.<\/jats:p>","DOI":"10.1111\/echo.13229","type":"journal-article","created":{"date-parts":[[2016,4,5]],"date-time":"2016-04-05T04:54:56Z","timestamp":1459832096000},"page":"1251-1252","source":"Crossref","is-referenced-by-count":7,"title":["Paradoxical Hemodynamic Instability After Pericardial Window"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9283-3725","authenticated-orcid":false,"given":"Andrew J.","family":"Han","sequence":"first","affiliation":[{"name":"Department of Medicine University of Tennessee Health Science Center Memphis Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Slomka","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Diseases Department of Medicine University of Tennessee Health Science Center Memphis Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anurag","family":"Mehrotra","sequence":"additional","affiliation":[{"name":"Division of Pulmonary Diseases Department of Medicine University of Tennessee Health Science Center Memphis Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis C.","family":"Murillo","sequence":"additional","affiliation":[{"name":"Division of Pulmonary Diseases Department of Medicine University of Tennessee Health Science Center Memphis Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shadwan F.","family":"Alsafwah","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Diseases Department of Medicine University of Tennessee Health Science Center Memphis Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rami N.","family":"Khouzam","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Diseases Department of Medicine University of Tennessee Health Science Center Memphis Tennessee"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,4,4]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.86.4.647"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2010.09.015"},{"key":"e_1_2_4_4_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-119-1-199307010-00007"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(98)01143-6"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1152\/ajpheart.00822.2012"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.4149\/gpb_2014002"},{"key":"e_1_2_4_8_1","doi-asserted-by":"publisher","DOI":"10.1213\/XAA.0000000000000120"}],"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fecho.13229","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.13229","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T16:53:59Z","timestamp":1695574439000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.13229"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,4,4]]},"references-count":7,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2016,8]]}},"alternative-id":["10.1111\/echo.13229"],"URL":"https:\/\/doi.org\/10.1111\/echo.13229","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"value":"0742-2822","type":"print"},{"value":"1540-8175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,4,4]]}}}