<?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>2954-3835</journal-id>
<journal-title><![CDATA[Cardiovascular and metabolic science]]></journal-title>
<abbrev-journal-title><![CDATA[Cardiovasc. metab. sci]]></abbrev-journal-title>
<issn>2954-3835</issn>
<publisher>
<publisher-name><![CDATA[Asociación Nacional de Cardiólogos de México A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2954-38352019000100038</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Myxedema with cardiac tamponade due to massive pericardial effusion with cholesterol crystals. Case report]]></article-title>
<article-title xml:lang="es"><![CDATA[Mixedema con taponamiento cardiaco por derrame pericárdico masivo con cristales de colesterol. Reporte de caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Diestel-Bautista]]></surname>
<given-names><![CDATA[Tania Leticia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chino-Flores]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de la zona 1 Departamento de Cardiología]]></institution>
<addr-line><![CDATA[Tapachula Chiapas]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de la zona 1 ]]></institution>
<addr-line><![CDATA[Tapachula Chiapas]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>30</volume>
<numero>1</numero>
<fpage>38</fpage>
<lpage>41</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2954-38352019000100038&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2954-38352019000100038&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2954-38352019000100038&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: The association between pericardial effusion and cholesterol crystals in patients with hypothyroidism has rarely been observed; the first report dates from 1919, J.S. Alexander presented the case of a 32-year-old English man with hypothyroidism, pericardial effusion and heart failure; the drained pericardial fluid described it as «golden paint», the laboratory study showed large amounts of cholesterol crystals. We present the case of a 61-year-old hispanic man who presented cardiorespiratory arrest during the postoperative period of elective surgery. Cardiorespiratory arrest was attributed to cardiac tamponade due to massive pericardial effusion (PE). During the PE study, pericardiocentesis was performed obtaining 1,800 milliliters of liquid with the appearance of «golden paint». The microscopic study of the liquid obtained showed cholesterol crystals and the cytochemical study had exudate characteristics.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La asociación entre derrame pericárdico y cristales de colesterol en pacientes con hipotiroidismo ha sido pocas veces observada. El primer reporte data de 1919, J.S. Alexander presentó el caso de un varón inglés de 32 años con hipotiroidismo, derrame pericárdico e insuficiencia cardiaca; el líquido pericárdico drenado lo describió como «pintura dorada» y el estudio de laboratorio mostró grandes cantidades de cristales de colesterina. Presentamos el caso de un hombre hispano de 61 años que presentó paro cardiorrespiratorio durante el postoperatorio de una cirugía electiva. El paro cardiorrespiratorio se atribuyó a taponamiento cardiaco por derrame pericárdico masivo. Durante el estudio del derrame pericárdico se realizó pericardiocentesis, obteniendo 1,800 mililitros de líquido con apariencia de «pintura dorada». El estudio microscópico del líquido obtenido mostró cristales de colesterol y el estudio citoquímico tenía características de exudado.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Pericardial effusion]]></kwd>
<kwd lng="en"><![CDATA[cardiac tamponade]]></kwd>
<kwd lng="en"><![CDATA[myxedema]]></kwd>
<kwd lng="en"><![CDATA[cholesterol crystals]]></kwd>
<kwd lng="es"><![CDATA[Derrame pericárdico]]></kwd>
<kwd lng="es"><![CDATA[taponamiento cardiaco]]></kwd>
<kwd lng="es"><![CDATA[mixedema]]></kwd>
<kwd lng="es"><![CDATA[cristales de colesterol]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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