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CARDIAC  TAMPONADE Dr. Mansoor Khan MBBS, FCPS I, Resident, Surgical “C”, KTH Peshawar. Jan 5th, 2009
“ Compression of all cardiac chambers  due to excessive accumulation of  pericardial fluid leading to  compromised cardiac out put ”
 
Pericardium typically has  20-50 ml of fluid
Causes of Pericardial Tamponade ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Pathophysiology
 
Dyspnea, Chest pain, Abdominal pain, Fatigue, Fever, Cough, Weakness, Palpitation, Maybe in shock, thus not able to elicit symptoms S YMPTOMS
Beck’s Triad S I G N S Hypotension JVP Diminished  heart sounds
Hepatomegaly Evidence of  chest wall trauma Pulsus paradoxsus  > 12 mm Hg Kussmaul sign  - paradoxical increase in venous distention and pressure during inspiration S I G N S
low voltage, sinus tach, PR depression, electrical alternans E K G
Enlarge cardiac silhouette, water bottle shaped heart C X R
[object Object],ECHOCARDIOGRAM
 
[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],TREATMENT
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
THANKS

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Cardiac Tamponade