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Intensive Care Medicine

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27.04.2018 | Understanding the Disease

Cardiac tamponade

verfasst von: Armand Mekontso Dessap, Michelle S. Chew

Erschienen in: Intensive Care Medicine | Ausgabe 6/2018

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Excerpt

Cardiac tamponade (CT) is characterized by hemodynamic instability due to heart compression by accumulation of fluid, blood, clots, or gas in the pericardial space [1]. In this article, we focus on understanding pathophysiology, clinical and echocardiographic findings of non-loculated pericardial fluid accumulation, in order to answer the following question: In a patient with pericardial effusion, how do I recognize and manage tamponade? Loculated intrapericardial effusions or extrapericardial tamponade (by mediastinal or pleural processes) that may cause local compression on any heart chamber will not be extensively discussed here. …

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Adler Y, Charron P, Imazio M et al (2015) 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). Eur Heart J 36:2921–2964. https://doi.org/10.1093/eurheartj/ehv318 CrossRefPubMed

Risti AD, Imazio M, Adler Y et al (2014) Triage strategy for urgent management of cardiac tamponade: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. Eur Heart J 35:2279–2284. https://doi.org/10.1093/eurheartj/ehu217 CrossRef

Sagristà-Sauleda J, Angel J, Permanyer-Miralda G, Soler-Soler J (1999) Long-term follow-up of idiopathic chronic pericardial effusion. N Engl J Med 341:2054–2059CrossRefPubMed

Swaminathan A, Kandaswamy K, Powari M, Mathew J (2007) Dying from cardiac tamponade. World J Emerg Surg 2:22. https://doi.org/10.1186/1749-7922-2-22 CrossRefPubMedPubMedCentral

Reddy PS, Curtiss EI, Uretsky BF (1990) Spectrum of hemodynamic changes in cardiac tamponade. Am J Cardiol 66:1487–1491CrossRefPubMed

Sagrista-Sauleda J, Angel J, Sambola A et al (2006) Low-pressure cardiac tamponade: clinical and hemodynamic profile. Circulation 114:945–952. https://doi.org/10.1161/CIRCULATIONAHA.106.634584 CrossRefPubMed

Hamzaoui O, Monnet X, Teboul J-L (2013) Pulsus paradoxus. Eur Respir J 42:1696–1705. https://doi.org/10.1183/09031936.00138912 CrossRefPubMed

Argulian E, Herzog E, Halpern DG, Messerli FH (2012) Paradoxical hypertension with cardiac tamponade. Am J Cardiol 110:1066–1069. https://doi.org/10.1016/j.amjcard.2012.05.042 CrossRefPubMed

Gauchat HW, Katz LN (1924) Observations on pulsus paradoxus (with special reference to pericardial effusions): I. Clinical. Arch Intern Med 33:350–370. https://doi.org/10.1001/archinte.1924.00110270071008 CrossRef

10.

Argulian E, Messerli F (2013) Misconceptions and facts about pericardial effusion and tamponade. Am J Med 126:858–861. https://doi.org/10.1016/j.amjmed.2013.03.022 CrossRefPubMed

11.

Grumann A, Baretto L, Dugard A et al (2012) Localized cardiac tamponade after open-heart surgery. Ann Thorac Cardiovasc Surg 18:524–529. https://doi.org/10.5761/atcs.oa.11.01855 CrossRefPubMed

12.

Gillam LD, Guyer DE, Gibson TC et al (1983) Hydrodynamic compression of the right atrium: a new echocardiographic sign of cardiac tamponade. Circulation 68:294–301. https://doi.org/10.1161/01.CIR.68.2.294 CrossRefPubMed

13.

Armstrong WF, Schilt BF, Helper DJ et al (1982) Diastolic collapse of the right ventricle with cardiac tamponade: an echocardiographic study. Circulation 65:1491–1496CrossRefPubMed

14.

Santamore WP, Heckman JL, Bove AA (1986) Right and left ventricular pressure-volume response to elevated pericardial pressure. Am Rev Respir Dis 134:101–107. https://doi.org/10.1164/arrd.1986.134.1.101 PubMedCrossRef

15.

Appleton CP, Hatle LK, Popp RL (1988) Cardiac tamponade and pericardial effusion: respiratory variation in transvalvular flow velocities studied by Doppler echocardiography. J Am Coll Cardiol 11:1020–1030CrossRefPubMed

16.

Leeman DE, Levine MJ, Come PC (1988) Doppler echocardiography in cardiac tamponade: exaggerated respiratory variation in transvalvular blood flow velocity integrals. J Am Coll Cardiol 11:572–578CrossRefPubMed

17.

Faehnrich JA, Noone RB, White WD et al (2003) Effects of positive-pressure ventilation, pericardial effusion, and cardiac tamponade on respiratory variation in transmitral flow velocities. J Cardiothorac Vasc Anesth 17:45–50. https://doi.org/10.1053/jcan.2003.9 CrossRefPubMed

18.

Himelman RB, Kircher B, Rockey DC, Schiller NB (1988) Inferior vena cava plethora with blunted respiratory response: a sensitive echocardiographic sign of cardiac tamponade. J Am Coll Cardiol 12:1470–1477CrossRefPubMed

19.

Tsang TSM, Enriquez-Sarano M, Freeman WK et al (2002) Consecutive 1127 therapeutic echocardiographically guided pericardiocenteses: clinical profile, practice patterns, and outcomes spanning 21 years. Mayo Clin Proc 77:429–436. https://doi.org/10.4065/77.5.429 CrossRefPubMed

20.

Furst B, Liu C-JJ, Hansen P, Musuku SR (2016) Concurrent pericardial and pleural effusions: a double jeopardy. J Clin Anesth 33:341–345. https://doi.org/10.1016/j.jclinane.2016.04.056 CrossRefPubMed

21.

Sagristà-Sauleda J, Angel J, Sambola A, Permanyer-Miralda G (2008) Hemodynamic effects of volume expansion in patients with cardiac tamponade. Circulation 117:1545–1549. https://doi.org/10.1161/CIRCULATIONAHA.107.737841 CrossRefPubMed

22.

Martins JB, Manuel WJ, Marcus ML, Kerber RE (1980) Comparative effects of catecholamines in cardiac tamponade: experimental and clinical studies. Am J Cardiol 46:59–66CrossRefPubMed

23.

Ho AM-H, Graham CA, Ng CSH et al (2009) Timing of tracheal intubation in traumatic cardiac tamponade: a word of caution. Resuscitation 80:272–274. https://doi.org/10.1016/j.resuscitation.2008.09.021 CrossRefPubMed

Titel: Cardiac tamponade
verfasst von: Armand Mekontso Dessap
Michelle S. Chew
Publikationsdatum: 27.04.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: Intensive Care Medicine / Ausgabe 6/2018
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-018-5191-z

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