Your browser version may not work well with NCBI's Web applications. More information here...
1: Catheter Cardiovasc Interv. 2004 Nov;63(3):339-45.Click here to read Links

Atypical hemodynamic manifestations of cardiac tamponade.

Sharma N, Panchal V, Kalaria VG.

Krannert Institute of Cardiology, Clarian Cardiovascular Center, Department of Medicine, Indiana University, Indianapolis, Indiana 46202, USA.

Clinical examination and transthoracic echocardiography play a vital role in the management of patients with pericardial effusion and cardiac tamponade physiology. We report patients in advanced phase 3 cardiac tamponade with variant clinical and hemodynamic presentations. These atypical cardiac tamponade cases include: A patient with severe aortic valve regurgitation who lacked pulsus paradoxus; a patient with systemic sclerosis without hypotension; and a patient with pulmonary hypertension lacking right heart collapse on echocardiography. Recognition of these atypical clinical and hemodynamic manifestations of cardiac tamponade will avoid undue delay in the treatment.

PMID: 15505862 [PubMed - indexed for MEDLINE]