Medication Summary

The role of medication therapy in cardiac tamponade is limited.

Class Summary

Beta-1 receptor stimulating agents increase stroke volume and cardiac output.

Questions

Reddy PS, Curtiss EI, Uretsky BF. Spectrum of hemodynamic changes in cardiac tamponade. Am J Cardiol. 1990 Dec 15. 66(20):1487-91. [QxMD MEDLINE Link].
Saito Y, Donohue A, Attai S, et al. The syndrome of cardiac tamponade with "small" pericardial effusion. Echocardiography. 2008 Mar. 25(3):321-7. [QxMD MEDLINE Link].
Parvez N, Carpenter JL. Cardiac tamponade in Still disease: a review of the literature. South Med J. 2009 Aug. 102(8):832-7. [QxMD MEDLINE Link].
Ernst E, Zhang J. Cardiac tamponade caused by acupuncture: a review of the literature. Int J Cardiol. 2011 Jun 16. 149(3):287-9. [QxMD MEDLINE Link].
Rylski B, Siepe M, Schoellhorn J, Beyersdorf F. Endoscopic treatment for delayed cardiac tamponade. Eur J Cardiothorac Surg. 2010 Feb. 37(2):490-1. [QxMD MEDLINE Link].
Mujovic N, Marinkovic M, Markovic N, et al. Management and outcome of periprocedural cardiac perforation and tamponade with radiofrequency catheter ablation of cardiac arrhythmias: a single medium-volume center experience. Adv Ther. 2016 Oct. 33(10):1782-96. [QxMD MEDLINE Link].
Holmes DR Jr, Nishimura R, Fountain R, et al. Iatrogenic pericardial effusion and tamponade in the percutaneous intracardiac intervention era. JACC Cardiovasc Interv. 2009 Aug. 2(8):705-17. [QxMD MEDLINE Link].
Hindi Z. Rare purulent cardiac tamponade caused by Streptococcus constellatus in a young immunocompetent patient: case report and review of the literature. Am J Case Rep. 2016 Nov 16. 17:855-9. [QxMD MEDLINE Link].
You SC, Shim CY, Hong GR, et al. Incidence, predictors, and clinical outcomes of postoperative cardiac tamponade in patients undergoing heart valve surgery. PLoS One. 2016 Nov 17. 11(11):e0165754. [QxMD MEDLINE Link].
Haneya A, Diez C, Kolat P, et al. Re-exploration for bleeding or tamponade after cardiac surgery: impact of timing and indication on outcome. Thorac Cardiovasc Surg. 2015 Feb. 63(1):51-7. [QxMD MEDLINE Link].
Le J, Buth KJ, Hirsch GM, Legare JF. Does more than a single chest tube for mediastinal drainage affect outcomes after cardiac surgery?. Can J Surg. 2015 Apr. 58(2):100-6. [QxMD MEDLINE Link].
Cornily JC, Pennec PY, Castellant P, et al. Cardiac tamponade in medical patients: a 10-year follow-up survey. Cardiology. 2008. 111(3):197-201. [QxMD MEDLINE Link].
Lee YM, Kim HJ, Lee JE, et al. Cardiac tamponade following insertion of an internal jugular vein catheter for hemodialysis. Clin Nephrol. 2009 Sep. 72(3):220-3. [QxMD MEDLINE Link].
Roy CL, Minor MA, Brookhart MA, Choudhry NK. Does this patient with a pericardial effusion have cardiac tamponade?. JAMA. 2007 Apr 25. 297(16):1810-8. [QxMD MEDLINE Link].
Ikematsu Y. Incidence and characteristics of dysphoria in patients with cardiac tamponade. Heart Lung. 2007 Nov-Dec. 36(6):440-9. [QxMD MEDLINE Link].
Sagrista-Sauleda J, Angel J, Sambola A, Alguersuari J, Permanyer-Miralda G, Soler-Soler J. Low-pressure cardiac tamponade: clinical and hemodynamic profile. Circulation. 2006 Aug 29. 114(9):945-52. [QxMD MEDLINE Link].
Busko, M. ESC group issues triage strategy to manage cardiac tamponade. Medscape Medical News. July 10, 2014. Available at https://www.medscape.com/viewarticle/828091. Accessed: July 21, 2014.
Ristic AD, Imazio M, Adler Y, et al. Triage strategy for urgent management of cardiac tamponade: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. Eur Heart J. 2014 Sep 7. 35(34):2279-84. [QxMD MEDLINE Link].
Towbin R. The bowed catheter sign: a risk for pericardial tamponade. Pediatr Radiol. 2008 Mar. 38(3):331-5. [QxMD MEDLINE Link].
Gold MM, Spindola-Franco H, Jain VR, Spevack DM, Haramati LB. Coronary sinus compression: an early computed tomographic sign of cardiac tamponade. J Comput Assist Tomogr. 2008 Jan-Feb. 32(1):72-7. [QxMD MEDLINE Link].
Stone MK, Bauch TD, Rubal BJ. Respiratory changes in the pulse-oximetry waveform associated with pericardial tamponade. Clin Cardiol. 2006 Sep. 29(9):411-4. [QxMD MEDLINE Link].
Boltwood C, Rieders D, Gregory KW. Inspiratory tracking sign in pericardial disease. Circulation. 1984. 70(suppl II):103.
Petcu DP, Petcu C, Popescu CF, Bataiosu C, Alexandru D. Clinical and cytological correlations in pericardial effusions with cardiac tamponade. Rom J Morphol Embryol. 2009. 50(2):251-6. [QxMD MEDLINE Link].
Sagrista-Sauleda J, Angel J, Sambola A, Permanyer-Miralda G. Hemodynamic effects of volume expansion in patients with cardiac tamponade. Circulation. 2008 Mar 25. 117(12):1545-9. [QxMD MEDLINE Link].
Motas C, Motas N, Rus O, Horvat T. Left paraxiphoidian approach for drainage of pericardial effusions. Interact Cardiovasc Thorac Surg. 2010 Jan. 10(1):4-5. [QxMD MEDLINE Link].
Monaco F, Barone M, David A, et al. [Cardiac tamponade: a modified video-assisted thoracoscopic approach] [Italian]. Chir Ital. 2009 May-Jun. 61(3):321-6. [QxMD MEDLINE Link].
Shiota T. Role of echocardiography for catheter-based management of valvular heart disease. J Cardiol. 2017 Jan. 69(1):66-73. [QxMD MEDLINE Link].
Khanna S, Maheshwari K. Hemopericardium and acute cardiac tamponade. Anesthesiology. 2018 May. 128(5):1006. [QxMD MEDLINE Link].
Lopez PD, Valvani R, Mushiyev S, Visco F, Pekler G. Cardiac tamponade: an unusual presentation of systemic lupus erythematosus. Am J Med. 2018 May. 131(5):e189-e190. [QxMD MEDLINE Link].
Appleton C, Gillam L, Koulogiannis K. Cardiac tamponade. Cardiol Clin. 2017 Nov. 35(4):525-37. [QxMD MEDLINE Link].
Fernandez Morales A, Iniesta N, Fernandez-Codina A, et al. Cardiac tamponade and severe pericardial effusion in systemic sclerosis: report of nine patients and review of the literature. Int J Rheum Dis. 2017 Oct. 20(10):1582-92. [QxMD MEDLINE Link].
Chen X, Miao Q, Yu Y, et al. Blunt trauma-induced pericardial tamponade after video-assisted thoracoscopic surgery. Ann Thorac Surg. 2018 Nov 24. [QxMD MEDLINE Link].
Doukky R, Improvola G, Shih MJ, et al. Usefulness of oximetry paradoxus to diagnose cardiac tamponade. Am J Cardiol. 2018 Nov 6. [QxMD MEDLINE Link].

Media Gallery

This anteroposterior-view chest radiograph shows a massive, bottle-shaped heart and conspicuous absence of pulmonary vascular congestion. Reproduced with permission from Chest, 1996: 109:825.
A 12-lead electrocardiogram showing sinus tachycardia with electrical alternans. Reproduced with permission from Chest, 1996; 109:825.
Early diastolic collapse of right ventricular free wall (subcostal view).
Early diastolic collapse of right ventricular free wall (parasternal short-axis view at aortic valve).
Late diastolic collapse of right atrium (subcostal view).
Dilated inferior vena cava.

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Author

Chakri Yarlagadda, MD, FACC, FSCAI, FASNC, CCDS Director of Cardiac Rehabilitation, St Elizabeth Youngstown Hospital; Radiation Safety Officer, Mercy Health Cardiology

Chakri Yarlagadda, MD, FACC, FSCAI, FASNC, CCDS is a member of the following medical societies: American College of Cardiology, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions

Disclosure: Nothing to disclose.

Chief Editor

Terrence X O'Brien, MD, MS, FACC Professor of Medicine/Cardiology, Director, Clinical Cardiovascular Research, Medical University of South Carolina College of Medicine; Director, Echocardiography Laboratory, Veterans Affairs Medical Center of Charleston

Terrence X O'Brien, MD, MS, FACC is a member of the following medical societies: American College of Cardiology, American Heart Association, American Society of Echocardiography, Heart Failure Society of America, South Carolina Medical Association

Disclosure: Nothing to disclose.

Acknowledgements

Russell F Kelly, MD Assistant Professor, Department of Internal Medicine, Rush Medical College; Chairman of Adult Cardiology and Director of the Fellowship Program, Cook County Hospital

Russell F Kelly is a member of the following medical societies: American College of Cardiology

Disclosure: Nothing to disclose.

Ronald J Oudiz, MD, FACP, FACC, FCCP Professor of Medicine, University of California, Los Angeles, David Geffen School of Medicine; Director, Liu Center for Pulmonary Hypertension, Division of Cardiology, LA Biomedical Research Institute at Harbor-UCLA Medical Center

Ronald J Oudiz, MD, FACP, FACC, FCCP is a member of the following medical societies: American College of Cardiology, American College of Chest Physicians, American College of Physicians, American Heart Association, and American Thoracic Society

Disclosure: Actelion Grant/research funds Clinical Trials + honoraria; Encysive Grant/research funds Clinical Trials + honoraria; Gilead Grant/research funds Clinical Trials + honoraria; Pfizer Grant/research funds Clinical Trials + honoraria; United Therapeutics Grant/research funds Clinical Trials + honoraria; Lilly Grant/research funds Clinical Trials + honoraria; LungRx Clinical Trials + honoraria; Bayer Grant/research funds Consulting

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment