Rocha RMG, Garnica EMA, Bautista LRC

Language: Spanish
References: 17
Page: 116-120
PDF size: 232.31 Kb.

ABSTRACT

Cardiac tamponade is a medical emergency, characterized by elevated intrapericardial intrapericardial pressure in space, due to an increase in volume (usually liquid) which determines compression of the heart cavities decreased diastolic filling, leading to a significant decrease in cardiac output. The etiology may be variable among the most frequent include pericarditis, uremia, hypothyroidism, trauma, cardiac surgery and other inflammatory and non inflammatory diseases. The aim of this paper is to describe the case of a patient who developed cardiac tamponade, review its pathogenesis, clinical diagnosis, hemodynamic and the use of transthoracic echocardiography.

REFERENCES

1. Little WC, Freeman GL. Pericardial disease. Circulation 2006; 113: 1622-32.

2. Spodick D. Macrophysiology, microphysiology, and anatomy of the pericardium: A synopsis. Am Heart J 1992; 124: 1046-51.

3. Hammond HK, White FC, Bhargava V. Heart size and maximal cardiac output are limited by the pericardium. Am J Physiol 1992; 263: H1675-H1681.

4. Tanaka T, Hasegawa K, Fujita M. Marked elevation of brain natriuretic peptide levels in pericardial fluid is closely associated with left ventricular dysfunction. J Am Coll Cardiol 1998; 31: 399-403.

5. Stoll HP, Carlson K, Keefer LK. Pharmacokinetics and consistence of pericardial delivery directed to coronary arteries: Direct comparison with endoluminal delivery. Clin Cardiol 1999; 22: 1-16.

6. Hoit BD. Pericardial disease and pericardial tamponade. Crit Care Med 2007; 35: S355-S364.

7. Maisch B. Pericardial diseases, with a focus on etiology, pathogenesis, pathophysiology, new diagnostic imaging methods, and treatment. Curr Opin Cardiol 1994; 9: 379-88.

8. Maisch B. Pericardial diseases, with a focus on etiology, pathogenesis, pathophysiology, new diagnostic imaging methods, and treatment. Curr Opin Cardiol 1994; 9: 379-88.

9. Zamorano J, Vilacosta I, Almería C, Alonso L, Battle E, Conde A. Cardiac tamponade with the absence of a paradoxical pulse. A practical utility of echocardiography. Rev Esp Cardiol 1995; 48: 443-5.

10. Hoit BD, Shaw D. The paradoxical pulse in tamponade: Mechanisms and echocardiographic correlates. Echocardiography 1994; 11: 477-87.

11. Karia DH, Xing YQ, Kuvin JT. Recent role of imaging in the diagnosis of pericardial disease. Curr Cardiol Rep 2002; 4: 33-40.

12. Reydel B, Spodick DH. Frequency and significance of chamber collapses during cardiac tamponade. Am Heart J 1990; 119: 1160-3.

13. Hoit BD. Imaging the pericardium. Cardiol Clin 1990; 8: 587-600.

14. Himelman RB, Kircher B, Rockey DC. Inferior vena cava plethora with blunted respiratory response: A sensitive echocardiographic sign of cardiac tamponade. J Am Coll Cardiol 1988; 12: 1470-7.

15. Merce J, Sagrista-Sauleda J, Permanyer-Miralda G. Correlation between clinical and Doppler echocardiographic findings in patients with moderate and large pericardial effusion: Implications for the diagnosis of cardiac tamponade. Am Heart J 1999; 138: 759-64.

16. Tsang TS, Enriquez-Sarano M, Freeman WK. Consecutive 1127 therapeutic echocardiographically guided pericardiocenteses: Clinical profile, practice patterns, and outcomes spanning 21 years. Mayo Clin Proc 2002; 77: 429-36.

17. Fowler ON. Cardiac tamponade. A clinical or and echocardiographic diagnosis? Circulation 1993; 87: 1738-41.