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Left Ventricular Diastolic Collapse in the Absence of Cardiac Tamponade
Author(s) -
HAVRANEK EDWARD P.,
BAILEY WILLIAM M.,
ADAIR OLIVIA V.
Publication year - 1993
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.1993.tb00002.x
Subject(s) - medicine , cardiology , cardiac tamponade , diastole , tamponade , pulmonary hypertension , pericardial effusion , blood pressure
Left ventricular diastolic collapse has been presented in the literature as a sign of cardiac tamponade in the setting of pulmonary hypertension. We report the case of a patient with human immunodeficiency virus (HIV) disease, and associated pulmonary hypertension and pericardial effusion. Left ventricular diastolic collapse was present, but tamponade was not, as judged by failure of pericardio‐centesis to improve cardiac index or symptoms. We suggest that left ventricular diastolic collapse occurred because left ventricular filling was impaired by the hemodynamic consequences of pulmonary hypertension, not by extrinsic compression. Left ventricular diastolic collapse is not pathognomonic for cardiac tamponade in the setting of pulmonary hypertension.