ICU SAQs · Cardiovascular / pericardial
Cardiac tamponade — features and management
A CICM SAQ on cardiac tamponade: clinical signs, pulsus paradoxus, the echocardiographic signs and drainage by guided pericardiocentesis, from the 2015 ESC pericardial guideline.
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Prompt
A patient presents with hypotension, distended neck veins, and muffled heart sounds. Describe the clinical and echocardiographic features of cardiac tamponade and the immediate management.
Question
A patient presents with hypotension, distended neck veins, and muffled heart sounds. Describe the clinical and echocardiographic features of cardiac tamponade and the immediate management.
References2ShowHide
- [1]Adler Y, Charron P, Imazio M, et al. 2015 ESC Guidelines for the diagnosis and management of pericardial diseases: The Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC)Endorsed by: The European Association for Cardio-Thoracic Surgery (EACTS). European heart journal, 2015.PMID 26320112
- [2]Tsang TS, Enriquez-Sarano M, Freeman WK, et al. Consecutive 1127 therapeutic echocardiographically guided pericardiocenteses: clinical profile, practice patterns, and outcomes spanning 21 years. Mayo Clinic proceedings, 2002.PMID 12004992