What should be considered when a pericardial effusion is present after a STEMI?
It is important to exclude free-wall rupture when a pericardial effusion is present, especially if the O Gara et al 2013 ACCF/AHA STEMI Guideline e395 When tamponade is present, free- wall rupture, hemorrhagic conversion, or aortic dissection should be considered. Anticoagulation should be discontinued in the presence of a significant (1 cm) or enlarging pericardial effusion.