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Recognizing tamponade variants without pulsus paradoxus may aid timely diagnosis; leaves open prospective validation of these presentations.
Acute cardiac tamponade is life threatening and requires prompt pericardial drainage. This review explains the manifestations of tamponade, including a presentation in which the diagnostic finding of pulsus paradoxus is absent, and variant forms, such as low-pressure tamponade and regional tamponade.
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David H. Spodick (2003) studied this question.
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