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. 1990 Feb;63(2):136–140. doi: 10.1136/hrt.63.2.136

Low pressure cardiac tamponade: diagnosis facilitated by Doppler echocardiography.

S N Hayes 1, W K Freeman 1, B J Gersh 1
PMCID: PMC1024343  PMID: 2317409

Abstract

A case of low pressure cardiac tamponade is reported in which hypovolaemia altered the clinical findings of tamponade and complicated the diagnosis. Venous pressure was not raised and there was no pulsus paradoxus. In this patient, a man of 67, characteristic variations in diastolic inflow signals and the isovolumic relaxation period throughout the respiratory cycle were shown by Doppler echocardiography and led to the diagnosis of cardiac tamponade in the absence of characteristic signs and symptoms.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Antman E. M., Cargill V., Grossman W. Low-pressure cardiac tamponade. Ann Intern Med. 1979 Sep;91(3):403–406. doi: 10.7326/0003-4819-91-3-403. [DOI] [PubMed] [Google Scholar]
  2. Appleton C. P., Hatle L. K., Popp R. L. Cardiac tamponade and pericardial effusion: respiratory variation in transvalvular flow velocities studied by Doppler echocardiography. J Am Coll Cardiol. 1988 May;11(5):1020–1030. doi: 10.1016/s0735-1097(98)90060-2. [DOI] [PubMed] [Google Scholar]
  3. Armstrong W. F., Schilt B. F., Helper D. J., Dillon J. C., Feigenbaum H. Diastolic collapse of the right ventricle with cardiac tamponade: an echocardiographic study. Circulation. 1982 Jun;65(7):1491–1496. doi: 10.1161/01.cir.65.7.1491. [DOI] [PubMed] [Google Scholar]
  4. Boltwood C. M., Jr, Ryan M. Volume expansion versus pericardiocentesis in low-pressure cardiac tamponade. Am J Med. 1987 Nov;83(5):1007–1008. doi: 10.1016/0002-9343(87)90676-0. [DOI] [PubMed] [Google Scholar]
  5. Boltwood C. M., Lee P. Y., Tei C., Shah P. M. Low-pressure cardiac tamponade. N Engl J Med. 1983 Sep 15;309(11):667–668. [PubMed] [Google Scholar]
  6. D'Cruz I. A., Kensey K., Campbell C., Replogle R., Jain M. Two-dimensional echocardiography in cardiac tamponade occurring after cardiac surgery. J Am Coll Cardiol. 1985 May;5(5):1250–1252. doi: 10.1016/s0735-1097(85)80033-4. [DOI] [PubMed] [Google Scholar]
  7. Gillam L. D., Guyer D. E., Gibson T. C., King M. E., Marshall J. E., Weyman A. E. Hydrodynamic compression of the right atrium: a new echocardiographic sign of cardiac tamponade. Circulation. 1983 Aug;68(2):294–301. doi: 10.1161/01.cir.68.2.294. [DOI] [PubMed] [Google Scholar]
  8. Singh S., Wann L. S., Schuchard G. H., Klopfenstein H. S., Leimgruber P. P., Keelan M. H., Jr, Brooks H. L. Right ventricular and right atrial collapse in patients with cardiac tamponade--a combined echocardiographic and hemodynamic study. Circulation. 1984 Dec;70(6):966–971. doi: 10.1161/01.cir.70.6.966. [DOI] [PubMed] [Google Scholar]
  9. Weitzman L. B., Tinker W. P., Kronzon I., Cohen M. L., Glassman E., Spencer F. C. The incidence and natural history of pericardial effusion after cardiac surgery--an echocardiographic study. Circulation. 1984 Mar;69(3):506–511. doi: 10.1161/01.cir.69.3.506. [DOI] [PubMed] [Google Scholar]

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