Key result
Three patients with advanced cardiac tamponade presented atypically without pulsus paradoxus, hypotension, or right heart collapse, highlighting the need for prompt recognition to avoid treatment delay.
Case Report (n=3)
Recognition of atypical presentations of cardiac tamponade in patients with specific comorbidities can prevent delays in life-saving treatment.
Atypical tamponade presentations warrant vigilance to avoid delays in comorbid patients; case reports leave open broader diagnostic revisions pending validation.
Clinical examination and transthoracic echocardiography play a vital role in the management of patients with pericardial effusion and cardiac tamponade physiology. We report patients in advanced phase 3 cardiac tamponade with variant clinical and hemodynamic presentations. These atypical cardiac tamponade cases include: A patient with severe aortic valve regurgitation who lacked pulsus paradoxus; a patient with systemic sclerosis without hypotension; and a patient with pulmonary hypertension lacking right heart collapse on echocardiography. Recognition of these atypical clinical and hemodynamic manifestations of cardiac tamponade will avoid undue delay in the treatment.
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Sharma et al. (2004) conducted a case report in Cardiac tamponade (n=3). Three patients with advanced cardiac tamponade presented atypically without pulsus paradoxus, hypotension, or right heart collapse, highlighting the need for prompt recognition to avoid treatment delay.
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