Cardiac tamponade is a clinical emergency caused by the accumulation of fluid in the pericardial space, which increases pressure on the heart resulting in reduced ventricular filling and subsequent hemodynamic compromise.
In cardiac tamponade, blood or fluid collects in the pericardium. This causes reduced ventricular filling. The excess pressure from the fluid prevents the heart from working properly. As a result, the body does not get enough blood.
Complications of cardiac tamponade include pulmonary edema, shock, and death.
Removal of the accumulated pericardial fluid is the best therapy for tamponade and this can be achieved by Emergency subxiphoid percutaneous drainage, Echocardiographically guided pericardiocentesis or Percutaneous balloon pericardiotomy.
The role of medication therapy in cardiac tamponade is limited. |
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