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Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia
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Table of Contents
VIDEO COMMENTARY 1  
Year : 2016  |  Volume : 19  |  Issue : 2  |  Page : 338
Echocardiography for cardiac tamponade


Professor, Cardiac Anaesthesia, CTC, AIIMS, New Delhi - 110029, India

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Date of Web Publication1-Apr-2016
 

How to cite this article:
Kapoor PM. Echocardiography for cardiac tamponade. Ann Card Anaesth 2016;19:338

How to cite this URL:
Kapoor PM. Echocardiography for cardiac tamponade. Ann Card Anaesth [serial online] 2016 [cited 2019 Nov 12];19:338. Available from: http://www.annals.in/text.asp?2016/19/2/338/179630


Introduction

  • Cardiac tamponade refers to the haemodynamic that occurs when the pressure within a pericardia} effusion compresses the heart. (Video 1)





  • It is a clinical diagnosis indicated by the presence of:

    —Breathlessness (with clear lungs)

    —Tachycardia (>100 beats/min)

    —Pulsus parasoxus (>10mmHg fal in systolic blood pressure during inspiration)


Types Of Tamponade [Figure 1]
Figure 1:

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  • Acute tamponade
  • Chronic tamponade


Pericardial Tamponade



PWD IN Apical 4Chamber View & PSAX [Figure 3]
Figure 3:

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  • PWD in the apical 4-chamber view to interrogate tricuspid and mitral inflow.
  • PW Doppler in the parasternal short axis view to interrogate RVOT flow and record both the velocity time integral (VTI) and peak velocity (Vmax).
  • The normal respiratory variability in both is <10 percent,but is greater in the presence of tamponade.
  • IVC is dilated with absent inspiratory collapse.


Massive Pericardial Effusion- The Swinging Heart

  • Apical 4C PE swinging heart (Video 2)





  • Apical 4C PE mitral inflow Doppler (Video 3)





  • Apical4C PE tricuspid inflow Doppler (Video 4)





  • PLAX PE swinging heart (Video 5)






Cardiac Tamponade Occurring After Cardiac Surgery (video 6)




If no hypotension, look for

—Unsuspected hypovolemia

—Ventricular dysfunction

—Or LVOT obstruction

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Source of Support: None, Conflict of Interest: None


PMID: 27052078

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    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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