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Management of Cardiac Tamponade

  • David D. Berg
  • Gregory W. Barsness
  • Benjamin A. OlenchockEmail author
Chapter
  • 2.7k Downloads

Abstract

Cardiac tamponade is a cardiovascular emergency that occurs when fluid accumulates in the intrapericardial space and impairs cardiac filling. Prompt recognition and diagnosis of cardiac tamponade using physical exam and bedside echocardiography is critical. Emergent drainage of the pericardial effusion by percutaneous needle pericardiocentesis is the mainstay of tamponade management. In certain cases, surgical drainage may be required. In this chapter, we review the pathophysiology and management of acute cardiac tamponade.

Keywords

Cardiac tamponade Echocardiography Pericardial effusion Pericardiocentesis Pulsus paradoxus Shock Effusive-constrictive pericarditis 

Supplementary material

Video 14.1

Transthoracic echocardiogram, subxiphoid view, demonstrating large circumferential pericardial effusion with RV diastolic collapse (AVI 7120 kb)

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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  • David D. Berg
    • 1
  • Gregory W. Barsness
    • 2
  • Benjamin A. Olenchock
    • 1
    Email author
  1. 1.Department of Medicine, Division of Cardiovascular MedicineBrigham and Women’s Hospital and Harvard Medical SchoolBostonUSA
  2. 2.Department of Cardiovascular Diseases, Division of Ischemic Heart Disease and Critical Care CardiologyMayo ClinicRochesterUSA

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