Cardiac Tamponade: Big Heart with Clear Lungs
Author: V. Dimov, M.D.; R. Akhtar, M.D.
Reviewer: A. Aneja, M.D.
A 62-year-old African American male (AAM) is admitted to the hospital with shortness of breath (SOB) for three days.
Past medical history (PMH)
Congestive heart failure (CHF), hypertension (HTN).
Physical examination
Thin man, visibly SOB.
BP 75/40 mmHg.
HEENT: + JVD.
Heart: distant S1S2.
Chest: CTA (B).
Abdomen: Soft, NT, ND.
Extremities: no c/c/e.
The initial CXR 2 months ago (left). The current CXR shows a cardiac tamponade (right) (click to enlarge the images).
The CT of the chest shows a cardiac tamponade (click to enlarge the images).
Tamponade echo report (click to enlarge the image).
Summary
Cardiac tamponade is caused by the accumulation of fluid in the pericardial space, resulting in reduced ventricular filling and hemodynamic compromise. Cardiac tamponade is a medical emergency.
References
Cardiac Tamponade. eMedicine Specialties > Cardiology > Pericardial Disease, 2008.
Cardiac Tamponade in Oxford handbook of clinical medicine By Murray Longmore, Ian B. Wilkinson, Supraj R. Rajagopalan, 2004 (see below):
Published: 04/12/2005
Updated: 11/11/2009
Labels: Cardiology, Critical Care, Radiology
2 Comments:
that was helpful
thnx alot
I saw a patient once with a hemopericardium and cardiac tamponade.
She was taking coumadin for atrial fibrillation and presented with refractory hypotension.
To see the image - follow the link:
http://realicu.com/content/hemopericardium-cardiac-tamponade
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