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Atypical hemodynamic manifestations of cardiac tamponade
Author(s) -
Sharma Naveen,
Panchal Vipul,
Kalaria Vijay G.
Publication year - 2004
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.20187
Subject(s) - medicine , cardiac tamponade , pericardial effusion , tamponade , hemodynamics , cardiology , regurgitation (circulation)
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. Catheter Cardiovasc Interv 2004;63:339–345. © 2004 Wiley‐Liss, Inc.