Diastolic atrial compression: A sensitive echocardiographic sign of cardiac tamponade

Kronzon, Itzhak; Cohen, Murray; Winer, Howard E.

doi:10.1016/s0735-1097(83)80318-0

Cited by 151 publications

(35 citation statements)

References 13 publications

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“…Multiple echocardiographic signs have previously been reported to assess the hemodynamic significance of pericardial effusion [1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11]. Echocardiographic signs of cardiac compression have traditionally focused on the right ventricle and the right atrium because the filling pressure of these thin-walled cavities is low and the transmural pressure distending them is easily reduced to zero as the amount of intrapericardial fluid rises acutely [1, 2, 3, 4, 5, 6, 7, 11]. The left ventricle has a simple shape, rotationally symmetric around its long axis, its wall thickness is sufficient to be reproducibly measured in clinical practice, and changes in the dimensions of its cavity and wall can be easily appreciated.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Pseudohypertrophy as a Measure of Left-Ventricular Compression in Patients with Cardiac Tamponade

Feinberg¹,

Popescu²,

Popescu³

et al. 2000

Cardiology

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Background: Left-ventricular pseudohypertrophy reflecting left-ventricular compression was reported in a selected group of patients with cardiac tamponade. Hypothesis: Criteria for the presence of pseudohypertrophy can be established to guide its use as a sign of left-ventricular compression in patients with cardiac tamponade. Methods: Left-ventricular wall thickness, diameters, relative diastolic wall thickness (%) = (posterior wall thickness/end diastolic radius) x 100 and estimated left-ventricular mass were measured in patients with small, moderate and large pericardial effusion, in patients with cardiac tamponade before and after pericardiocentesis (16 patients in each group) and in 30 control subjects with normal echocardiograms. Results: Left-ventricular posterior wall thickness was increased (12 ± 2 vs. 9 ± 1 mm, p < 0.001), left-ventricular end-diastolic diameter was reduced (3.9 ± 0.5 vs. 4.6 ± 0.3 cm, p < 0.001) and relative left-ventricular diastolic wall thickness was increased (61 ± 13 vs. 41 ± 4.5%, p < 0.001) only in patients with cardiac tamponade compared to controls, but not in patients with small, moderate and large effusions, respectively (relative wall thickness: 42 ± 5, 41 ± 7 and 44 ± 7%, p = NS). Mean values of the estimated left-ventricular mass were similar in all groups. Following pericardiocentesis all parameters were normal. Conclusions: Despite normal left-ventricular mass, relative left-ventricular diastolic wall thickness is elevated in patients with cardiac tamponade. In contrast it is normal in patients with various degrees of pericardial effusion supporting its use as a quantitative measure of left-ventricular compression in patients with suspected cardiac tamponade.

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Section: Introductionmentioning

confidence: 99%

Assessment of Pseudohypertrophy as a Measure of Left-Ventricular Compression in Patients with Cardiac Tamponade

Feinberg¹,

Popescu²,

Popescu³

et al. 2000

Cardiology

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“…El colapso sistólico de la AD indica compresión por la efusión pericárdica. La inversión de la pared de la AD durante más de un tercio de la sístole tiene una alta sensibilidad y especificidad para el diagnóstico de taponamiento pericárdico (8)(9) .…”

Section: Discussionunclassified

Utilidad de la ecografía cardiaca a pie de cama en el manejo del taponamiento cardiaco

Caparó

Cruz

2017

HorizMed

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RESUMENEn los últimos años, tanto en diferentes estudios como en la práctica clínica habitual, ha quedado demostrada la utilidad de la ecografía a pie de cama para optimizar el manejo de los pacientes críticos, debiendo ser hoy en día una herramienta más que nos guíe en el manejo de este tipo de pacientes. En este artículo se presenta la utilidad de la ecografía a pie de cama en la detección y manejo de una paciente con signos iniciales de taponamiento cardiaco, antes de que presente hipotensión severa, lo que permitió tomar una decisión pronta para su manejo y condicionó posteriormente su recuperación.Palabras clave: Ecografía; pie de cama; taponamiento cardiaco (Fuente: DeSC BIREME). Utility of bedside cardiac ultrasound in the management of cardiac tamponade ABSTRACTIn recent years, both in different studies and in usual clinical practice, it has been demonstrated the utility of bedside ultrasound to optimize the management of critically ill patients. Today it should be an additional tool to guide us in the management of these patients. This article presents the utility of bedside ultrasound in the disease detection and management of a female patient with early signs of cardiac tamponade before the development of severe hypotension. Such ultrasound allowed making an early decision for her treatment, which subsequently affected her recovery.

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“…Cardiac tamponade was diagnosed when clinical impression was confirmed by the following echo-Doppler criteria: echocardiographic evidence of diastolic collapse of right atrium and right ventricle; 10,11 Doppler ultrasound findings of exaggerated respiratory variation in transvalvar flow velocities; and cross tricuspid, pulmonic and mitral valve. 12,13 Demographic information, presenting symptoms and signs, results of laboratory investigations and outcome were recorded according to a structural flow sheet.…”

Section: Methodsmentioning

confidence: 99%

Pattern of Pericardial Disease in the Asir Region of Saudi Arabia

et al. 1999

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Diastolic atrial compression: A sensitive echocardiographic sign of cardiac tamponade

Cited by 151 publications

References 13 publications

Assessment of Pseudohypertrophy as a Measure of Left-Ventricular Compression in Patients with Cardiac Tamponade

Assessment of Pseudohypertrophy as a Measure of Left-Ventricular Compression in Patients with Cardiac Tamponade

Utilidad de la ecografía cardiaca a pie de cama en el manejo del taponamiento cardiaco

Pattern of Pericardial Disease in the Asir Region of Saudi Arabia

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