Cardiac tamponade and cardiac contusion are two conditions caused by trauma to the heart region. Cardiac tamponade is caused by an accumulation of blood under pressure in the pericardial space, usually due to a penetrating precordial injury. This leads to reduced ventricular filling and decreased cardiac output. Diagnosis is made using echocardiography. Treatment involves pericardiocentesis or pericardiotomy to drain fluid from the pericardial space. Cardiac contusion is caused by blunt trauma to the chest, which damages heart cells and can lead to myocardial necrosis or valve rupture. Symptoms include chest pain and arrhythmias. Treatment focuses on monitoring in the ICU, managing arrhythmias

1. TAPONAMIENTO Y CONTUSIONCARDIACAPresentado a : Dr. Manuel de la CruzPatología Quirúrgica I.Por: Rafael López González 2008-0247

2. TAPONAMIENTO CARDÍACOCOMPRESION DEL CORAZON CAUSADA POR LA ACUMULACION DE SANGRE BAJO PRESION EN EL ESPACIO PERICARDICO.

3. PRINCIPALMENTE PRODUCIDA POR LESION PENETRANTE PRECORDIAL. FISIOPATOLOGÌAACUMULO DE SANGRE EN EL PERICARDIODEL VOLUMEN SISTOLICOCOMPENSADOR DE LA PRESION AURICULA DERECHAACIDOSIS METABOLICADEL LLENADO DIASTOLICO VENTRICULAR DERECHOISQUEMIA MIOCARDICAHIPOTENSIONDESPLAZAMIENTO DEL TABIQUE A LA IZQUIERDADEL LLENADO VENTRICULAR IZQUIERDOGASTO CARDIACO

4. TAPONAMIENTO CARDIACOSOLO PRESENTE DE 10 -40 %

5. TAPONAMIENTO CARDÍACODATOS CLINICOSAGITACION – HIPOXIA

6. HIPOTENSION

7. RUIDOS CARDIACOS APAGADOS

8. RX: ENSANCHAMIENTO SILUETA CARDIACA

9. ECOCARDIOGRAFIA: LIQUIDO PERICARDICO

10. ELEVACION DE PVC (PRESION VENOSA CENTRAL) CON DISTENSION DE LAS VENAS DEL CUELLO

11. CIANOSIS EN CABEZA Y CUELLO

12. PULSO PARADOJICO (DESCENSO DE LA PRESION ARTERIAL SISTOLICA SUPERIOR A 10 mmHg DURANTE LA FASE INSPIRATORIA DE LA RESPIRACIONTAPONAMIENTO CARDIACODiagnosticoEcocardiograma—a test that uses high-frequency sound waves (ultrasound) to examine the size, shape, and motion of the heart. This is the primary test used to diagnose and manage cardiac tamponade.