Doppler Echocardiographic Findings in Pericardial Tamponade and Constriction

Summary: Cardiac tamponade is a life-threatening condition. Accurate diagnosis and prompt intervention are necessary. Classically, clinical features of tamponade include pulsus paradoxus, tachycardia, increased jugular venous pressure, and hypotension. With the advent of echocardiography, confirmation of an effusion and accurate assessment of its hemodynamic impact can be achieved, frequently in the absence of overt clinical manifestations. The decision regarding treatment and timing of intervention must take into account the clinical presentation and echocardiographic findings, along with careful weighing of risks and benefits to the individual patient. Echocardiographically guided pericardiocentesis is the best available therapy for initial management of cardiac tamponade. It is simple, safe, and effective for removing pericardial fluid and reversing hemodynamic instability, and the use of a pericardial catheter for extended drainage has been associated with significant reduction in recurrence of fluid accumulation.

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Diagnosis and management of cardiac tamponade in the era of echocardiography

Tsang

Seward

1999

Clinical Cardiology

112

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Accurate preoperative diagnosis of pericardial constriction using cine computed tomography

Oren

Grover‐McKay

Stanford

et al. 1993

Journal of the American College of Cardiology

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Outcomes of Primary and Secondary Treatment of Pericardial Effusion in Patients With Malignancy

Tsang¹,

Seward²,

Barnes³

et al. 2000

Mayo Clinic Proceedings

108

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Doppler Echocardiographic Findings in Pericardial Tamponade and Constriction

Cited by 10 publications

References 36 publications

Diagnosis and management of cardiac tamponade in the era of echocardiography

Diagnosis and management of cardiac tamponade in the era of echocardiography

Accurate preoperative diagnosis of pericardial constriction using cine computed tomography

Outcomes of Primary and Secondary Treatment of Pericardial Effusion in Patients With Malignancy

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