Cardiac tamponade

Etiology:
Blood in pericardial space (eg, LV rupture, cardiac surgery)
Pericardial effusion (eg, malignancy, infection, uremia)
Clinical signs:
Beck triad: hypotension, JVD, ↓ heart sounds
Pulsus paradoxus: SBP ↓ more than 10 mm Hg during inspiration
Diagnosis:
ECG: low-voltage QRS complex, electrical alternans
Chest x-ray: enlarged cardiac silhouette (in subacute but not tamponade), clear lungs
Echocardiography: right atrial & ventricular collapse, IVC plethora
Treatment / management:
Intravenous fluids to increase right-sided preload
Drainage via pericardiocentesis or pericardial window

[@ruthquetant7375]

Thank you!!

[@bfeyes1]

🙂