RT Book, Section
A1 Barlotta, Kevin S.
A1 Stack, Lawrence B.
A1 Knoop, Kevin J.
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1178983228
T1 Cardiac Tamponade with Pericardiocentesis
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessmedicine.mhmedical.com/content.aspx?aid=1178983228
RD 2021/04/15
AB Cardiac  tamponade  occurs  when  fluid  or  blood  accumulates  in  the  pericardium  at  a  rate  that  does  not  allow  adequate  filling  of  the  ventricles  resulting  in  diminished  cardiac  output  and  shock.  Symptoms  include  shortness  of  breath,  orthopnea,  dyspnea  on  exertion,  syncope,  and  symptoms  of  inadequate  perfusion.  Hypotension,  tachycardia,  pulsus  paradoxus,  and  JVD  are  examination  findings  seen  in  tamponade.  Causes  include  blunt  or  penetrating  trauma,  malignancy,  hypothyroidism,  uremia,  myocardial  or  aortic  rupture,  and  pericarditis.  Rapid  filling  of  the  pericardial  sac  (50-100  mL)  is  more  likely  to  cause  cardiovascular  compromise  than  gradual  accumulation.