Diagnosis and management of cardiac tamponade in the era of echocardiography

T. S M Tsang, Jae Kuen Oh, J. B. Seward

Research output: Contribution to journalArticle

77 Citations (Scopus)

Abstract

Cardiac tamponade is a life-threatening condition. Accurate diagnosis and prompt intervention are necessary. Classically, clinical features of tamponade include pulsus paradoxus, tachycardia, increased jugular venous pressure, and hypotension. With the advent of echocardiography, confirmation of an effusion and accurate assessment of its hemodynamic impact can be achieved, frequently in the absence of overt clinical manifestations. The decision regarding treatment and timing of intervention must take into account the clinical presentation and echocardiographic findings, along with careful weighing of risks and benefits to the individual patient. Echocardiographically guided pericardiocentesis is the best available therapy for initial management of cardiac tamponade. It is simple, safe, and effective for removing pericardial fluid and reversing hemodynamic instability, and the use of a pericardial catheter for extended drainage has been associated with significant reduction in recurrence of fluid accumulation.

Original languageEnglish (US)
Pages (from-to)446-452
Number of pages7
JournalClinical Cardiology
Volume22
Issue number7
StatePublished - 1999

Fingerprint

Cardiac Tamponade
Echocardiography
Hemodynamics
Pericardiocentesis
Venous Pressure
Tachycardia
Hypotension
Pulse
Drainage
Neck
Catheters
Recurrence
Therapeutics
Pericardial Fluid

Keywords

  • Cardiac tamponade
  • Doppler
  • Echocardiography
  • Pericardial effusion
  • Pericardiocentesis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Diagnosis and management of cardiac tamponade in the era of echocardiography. / Tsang, T. S M; Oh, Jae Kuen; Seward, J. B.

In: Clinical Cardiology, Vol. 22, No. 7, 1999, p. 446-452.

Research output: Contribution to journalArticle

Tsang, T. S M ; Oh, Jae Kuen ; Seward, J. B. / Diagnosis and management of cardiac tamponade in the era of echocardiography. In: Clinical Cardiology. 1999 ; Vol. 22, No. 7. pp. 446-452.
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