Case 20 Cardiac Tamponade From Massive Pericardial Effusion

Beck described a triad of hypotension, muffled heart sounds, and elevated jugular venous pressure due to cardiac tamponade from pericardial effusion. Immediate pericardiocentesis is life-saving. The common causes of pericardial effusion include malignancy, congestive heart failure, tuberculosis, systemic lupus erythe-matosus, Dressler's syndrome, and uremia. This CXR shows a globular enlargement of the heart, typical of a large pericardial effusion. In addition, there is a mass in the right lung in keeping with the primary lung cancer.

Cardiac Tamponade
Fig 21.1

Case 21. This 65-year-old male had a long history of dyspnea on exertion, orthopnea, and bilateral ankle edema. This was his CXR (Fig. 21.1). Should a thoracocentesis be done?

Was this article helpful?

0 0
Stop Smoking, Kick The Habit Now

Stop Smoking, Kick The Habit Now

Now You Can Quit Smoking And Start Living a Healthy Life Yes, You! Have You Ever Thought There’s No Way You Can Give Up Cigarettes Without Losing Your Mind? Well, Worry No More.

Get My Free Ebook


Post a comment