The Journal of Emergency Medicine
Volume 42, Issue 2 , Pages 220-226 , February 2012

Hypotension is Uncommon in Patients Presenting to the Emergency Department with Non-traumatic Cardiac Tamponade

  • Tushar Kapoor, MD

      Affiliations

    • Department of Emergency Medicine, Long Island Jewish Medical Center, New Hyde Park, New York
    • Department of Emergency Medicine, Nassau University Medical Center, East Meadow, New York
    • Corresponding Author InformationReprint Address: Tushar Kapoor, md, Department of Emergency Medicine, Nassau University Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554
    • ,
  • Michael Locurto, MD

      Affiliations

    • Department of Emergency Medicine, Long Island Jewish Medical Center, New Hyde Park, New York
    • ,
  • Gino A. Farina, MD

      Affiliations

    • Department of Emergency Medicine, Long Island Jewish Medical Center, New Hyde Park, New York
    • ,
  • Robert Silverman, MD

      Affiliations

    • Department of Emergency Medicine, Long Island Jewish Medical Center, New Hyde Park, New York

Received 7 November 2009 ,Revised 3 March 2010 ,Accepted 18 May 2010.

References 

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  2. Spodick DH. Acute cardiac tamponade. N Engl J Med. 2003;349:684–690
  3. Shabetai R. Pericardial effusion: haemodynamic spectrum. Heart. 2004;90:255–256
  4. Beck CS. Two cardiac compression triads. JAMA. 1935;104:714–716
  5. Jouriles NJ. Pericardial and myocardial disease. In:  Marx JA,  Hockberger RS,  Walls RM, et al. editor. Rosen's emergency medicine: concepts and clinical practice. 6th edn. Philadelphia, PA: Mosby Inc.; 2006;p. 1285–1286
  6. Levine MJ, Lorell BH, Diver DJ, Come PA. Implications of echocardiographically assisted diagnosis of pericardial tamponade in contemporary medical patients: detection before hemodynamic embarrassment. J Am Coll Cardiol. 1991;17:59–65
  7. Brown J, MacKinnon D, King A, Vanderbrush E. Elevated arterial blood pressure in cardiac tamponade. N Engl J Med. 1992;327:463–466
  8. Reddy PS, Curtiss EL, O'Toole JD, Shaver JA. Cardiac tamponade: hemodynamic observations in man. Circulation. 1978;58:265–272
  9. Guberman BA, Fowler NO, Engel PJ, Gueron M, Allen JM. Cardiac tamponade in medical patients. Circulation. 1981;64:633–640
  10. Fowler NO. Cardiac tamponade: a clinical or an echocardiographic diagnosis?. Circulation. 1993;87:1738–1741
  11. Chobanian AV, Bakris GL, Black HR, et al. National High Blood Pressure Education Program Coordinating Committee. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003;42:1206–1252
  12. National Heart Lung and Blood Institute. Diseases and conditions index: hypotension. Available at: http://www.nhlbi.nih.gov/health/dci/Diseases/hyp/hyp_whatis.htmlAccessed September 25, 2008
  13. Roy CL, Minor MA, Brookhart MA, Choudhry NK. Does this patient with pericardial effusion have cardiac tamponade?. JAMA. 2007;297:1810–1818
  14. Cooper JP, Oliver RM, Currie P, Walker JM, Swanton RH. How do the clinical findings in patients with pericardial effusions influence the success of aspiration?. Br Heart J. 1995;73:351–354
  15. Gibbs CR, Watson RD, Singh SP, Lip GY. Management of pericardial effusion by drainage: a survey of 10 years' experience in a city centre general hospital serving a multiracial population. Postgrad Med J. 2000;76:809–813

PII: S0736-4679(10)00520-2

doi: 10.1016/j.jemermed.2010.05.071

The Journal of Emergency Medicine
Volume 42, Issue 2 , Pages 220-226 , February 2012

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