Cardiac Tamponade Flashcards
1
Q
what are some causes of cardiac tamponade
A
post MI - ruptured myocardium
pericarditis
radiation
SLE/ autoimmune
trauma
iatrogenic
medication: cyclosporins, hydralazine, isoniazine
2
Q
what is becks triad
A
raised JVP, hypotension, muffled heart sounds
3
Q
how can cardiac tamponade present
A
RHF symptoms
cardiogenic shock
tachycardia
tachypnoea
kussmauls sign
pulseless paradox
pericardial rub
4
Q
what investigations can be done for cardiac tamponade
A
CXR (assess heart size)
ECG
echocardiogram
troponins and autoimmune screen
5
Q
what can be seen on ECG for cardiac tamponade
A
alternating big and small QRS complexes
6
Q
what is the management of cardiac tamponade
A
pericardiocentesis
