C. Tamponade Flashcards
1
Q
Causes of pericardial effusion
A
Trauma MI Heart surgery Aortic Dissection Chronic inflammation Cancers Uremic pericarditis Hypothyroidism
2
Q
Cardiac tamponade
A
Effusion->pressure - lack of stretch and contraction- HR
3
Q
Symptoms of Cardiac tamponade
A
Becks triad - JVP+Hypotension+Distant heart sounds Tachycardia Coughing Dyspnoea Weakness Light-headedness Pulsus paradoxus >10mmhg
4
Q
Cardiac tamponade investigation
A
ECG =- Tachycardia, low QRS voltage, Electrical alterans
Echo- swinging heart, excess fluid
Cardiac catheterisation - 4 chambers at equal pressure
5
Q
Cardiac tamponade treatment
A
Pericardiocentesis
Address underlying disease
