Cardiac Tamponade Flashcards
1
Q
What is cardiac tamponade?
A
Accumulation of pericardial fluid
2
Q
Cardiac tamponade causes?
A
Raised cardiac pressure
= Poor ventricular filling and decreased CO
3
Q
What are causes of cardiac tamponade?
A
Pericarditis Aortic dissection Haemodialysis Warfarin Transeptal puncture at cardiac catheterisation
4
Q
What are signs and symptoms of cardiac tamponade?
A
Raised pulse Decreased BP Pulsus paradoxus Kussmaul sign Quiet heart sounds
5
Q
What is Kussmaul’s sign?
A
Paradoxical rise in JVP on inspiration or a failure in the appropriate fall of the JVP with inspiration
6
Q
What is pulsus paradoxus
A
abnormally large decrease in systolic blood pressure and pulse wave amplitude during inspiration
7
Q
How is cardiac tamponade diagnosed?
A
ECHO
8
Q
What are complications of cardiac tamponade?
A
Cardiogenic shock
9
Q
What is the treatment for cardiac tamponade?
A
Urgent drainage of pericardial effusion
