Cardiac Tamponade: Diagnosis and Treatment

Conference paper


Cardiac tamponade is a pathologic restraint of cardiac filling due to increased pericardial pressure, caused by the excess of fluid in the pericardial cavity. Typical characteristics of tamponade are: equalisation of left and right ventricular filling pressure, restricted diastolic filling of both ventricles and decreased cardiac output with development of shock.


Pericardial Effusion Cardiac Tamponade Constrictive Pericarditis Pericardial Fluid Purulent Pericarditis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Holt JP (1970) The normal pericardium. Am J Cardiol 26:455–465PubMedCrossRefGoogle Scholar
  2. 2.
    Ringertz HG, Misbach GA, Tyberg JV (1981) Effect of the normal pericardium on the left ventricular diastolic pressure-volume relationship. Acta Radiol 22:529–534Google Scholar
  3. 3.
    Goto Y, Le Winter M (1990) Nonuniform regional deformation of the pericardium during the cardiac cycle in dogs. Circ Res 67:1107–1114PubMedCrossRefGoogle Scholar
  4. 4.
    Davies WM, Le Winter M (1993) Cardiac tamponade. In: Pinsky MR, Dhainaut JFA Pathophysiologic foundations of critical care. Williams & Wilkins, Baltimore, pp 337–347Google Scholar
  5. 5.
    Levin S, Maldonado I, Rehm C et al (1996) Cardiac tamponade without pericardial effusion after blunt chest trauma. Am Heart J 131:198–200PubMedCrossRefGoogle Scholar
  6. 6.
    Reddy PS, Curtiss EI, O’Toole JD et al (1978) Cardiac tamponade: hemodynamic observations in man. Circulation 58:265–272PubMedCrossRefGoogle Scholar
  7. 7.
    Winer HE, Kronzon I (1979) Absence of paradoxical pulse in patients with cardiac tamponade and atrial septal defect. Am J Cardiol 44:378–380PubMedCrossRefGoogle Scholar
  8. 8.
    Kronzan J, Cohen ML, Winner HE (1983) Contribution of echocardiography to the understanding of the pathophysiology of cardiac tamponade. J Am Coll Cardiol 1:1180–1182CrossRefGoogle Scholar
  9. 9.
    Singh S, Wann LS, Schuchard GH et al (1984) Right ventricular and right atrial collapse in patients with cardiac tamponade — a combined echocardiographic and hemodynamic study. Circulation 70:966–771PubMedCrossRefGoogle Scholar
  10. 10.
    Spodick DH (1989) Pericarditis, pericardial effusion, cardiac tamponade, and constriction. Crit Care Clin 5:455–476PubMedGoogle Scholar
  11. 11.
    Shepherd FA, Morgan C, Evans WK et al (1987) Medical management of malignant pericardial effusion by tetracycline sclerosis. Am J Cardiol 60:1161–1166PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 1997

Authors and Affiliations

  • G. Voga

There are no affiliations available

Personalised recommendations