Key result
Among patients with cardiac tamponade, malignancy was the most common etiology (42.5%), and 85.0% presented with pulsus paradoxus.
Observational (n=40)
No
Malignancy is the most common etiology for cardiac tamponade, and while classical signs like Beck's triad are not universally present, electrical alternans and pulsus paradoxus are highly prevalent.
Malignancy warrants consideration in tamponade evaluation; this Level 3 cohort leaves open generalizability and prospective validation.
BACKGROUND tamponade is a life-threatening, slow or rapid compression of the heart due to the pericardial accumulation of fluid, , blood, because of effusion, trauma or rupture of the heart. It was an observational study and included 40 patients with tamponade. We looked for incidence of Beck’s triad and pulsus paradoxus, electrocardiographic presence of electrical , echocardiographic evidence of cardiac tamponade and aetiology of cardiac tamponade. AND METHODS was a single-centre observational study that included 40 patients diagnosed with cardiac tamponade between January 2014 and January 2015. All patients were assessed concerning the clinical features, aetiology, electrocardiographic details and findings and quantification. 25 patients were females; 34 (85.0%) patients presented with pulsus paradoxus. Malignancy (42.5%) was the most aetiology for cardiac tamponade. Paradoxical hypertension was noted among five patients. Cardiac tamponade due to was present in 7 patients. 39 patients presented with electrical alternans on ECG. Most of the patients had large effusion (50.0%). All patients were treated with pericardiocentesis and there was no in-hospital complication or . can be concluded that malignancy is increasing as an aetiology for cardiac tamponade (42.5%) followed by tuberculosis. as an aetiology for cardiac tamponade is not that rare (17.5%). Beck’s triad is not seen in all cases. JVP is in all patients. Hypertension at the time of presentation doesn’t rule out cardiac tamponade. Both ECG and can be efficiently used in the diagnosis of cardiac tamponade. Pericardiocentesis is a noteworthy method for of cardiac tamponade.
No takes yet. Share an insight, caveat, or question.
Y.V et al. (2017) conducted an observational in Cardiac tamponade (n=40). Cardiac tamponade was evaluated on Aetiology and clinical features. Among patients with cardiac tamponade, malignancy was the most common etiology (42.5%), and 85.0% presented with pulsus paradoxus.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: