Low-pressure cardiac tamponade

An elderly man developed cardiac tamponade from a tuberculous pericardial effusion but without such typical manifestations as pulsus paradoxus and jugular-vein distension. This case illustrates the difficulties in clinical recognition of low-pressure cardiac tamponade, which can develop in the prese...

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Bibliographic Details
Published inAnnals of internal medicine Vol. 91; no. 3; p. 403
Main Authors Antman, E M, Cargill, V, Grossman, W
Format Journal Article
LanguageEnglish
Published United States 01.09.1979
Subjects
Aged
Cardiac Tamponade - diagnosis
Cardiac Tamponade - etiology
Cardiac Tamponade - therapy
Echocardiography
Electrocardiography
Hemodynamics
Humans
Male
Pericardial Effusion - diagnosis
Pericardial Effusion - etiology
Pericardial Effusion - therapy
Pericarditis, Tuberculous - complications
Pericarditis, Tuberculous - pathology
Tuberculosis, Cardiovascular - complications
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Summary:An elderly man developed cardiac tamponade from a tuberculous pericardial effusion but without such typical manifestations as pulsus paradoxus and jugular-vein distension. This case illustrates the difficulties in clinical recognition of low-pressure cardiac tamponade, which can develop in the presence of dehydration and hypovolemia. The hemodynamic factors that account for this phenomenon are discussed.
ISSN:0003-4819
DOI:10.7326/0003-4819-91-3-403