Exacerbated Tamponade: Deterioration of Cardiac Function by Lowering Excessive Arterial Pressure in Hypertensive Cardiac Tamponade

Abstract

Patients with cardiac tamponade usually have significant hypotension; hypertension is rare. Before administering any medication during tamponade one must consider the complex physiology and compensatory mechanisms of cardiac compression [1]. We observed both an accentuation of pulsus paradoxus and retrospectively recognized fluctuations of left-ventricular function after progressively rising arterial blood pressure had been lowered.

A Study of Aetiology, Clinical Features, Ecg, Echocardiographic Features of Cardiac Tamponade

“…10 It is also stated that hypertensive cardiac tamponade may also occur in patients with high or very high blood pressures (even over 200 mmHg). 11 Likewise, in this study also, there were 5 patients with hypertensive cardiac tamponade.…”

Hypertensive Emergency With Cardiac Tamponade Associated With Hypothyroidism

“…All of the Brown et al study patients with hypertensive tamponade had antecedent chronic hypertension, and probably this was also the case for the hypertensive tamponade patients in Reddy et al In another series of tamponade patients, 36 of 56 (64%) had systolic pressures of at least 100 mm Hg, but BPs were not further characterized into a hypertensive group 9 . Hemodynamic data collected during a case of hypertensive cardiac tamponade in a patient with a BP of 208/74 mm Hg showed subclinical deterioration in left ventricular ejection time when he was administered nitroglycerin and nifedipine before pericardiocentesis 10 . These authors recommended β‐blockade for hypertensive pretamponade to improve stroke volume by reducing heart rate; however, this idea has not been tested.…”

Cardiac Tamponade

“…33 In this setting, injudicious use of the usual medications to lower blood pressure can result in profound hemodynamic compromise. 33 In this setting, injudicious use of the usual medications to lower blood pressure can result in profound hemodynamic compromise.…”