There is a pericardial space present in the heart. This space consists of fluid called pericardial fluid. This fluid is responsible to decrease the friction during the contraction and expansion of ventricles. When the amount of this fluid increases, the intrapericardial pressure increases. This results to the condition when the atria and ventricles fail to relax normally.
This condition is the condition of cardiac tamponade and the ecg you study to get a brief knowledge on the above
condition is cardiac tamponade ecg.
Cardiac tamponade, or fluid around the sac of the heart, is a life threatening condition. Signs and symptoms are muffled heart sounds, narrow pulse pressure, shock, and jugular vein distention.
Muffled heart sounds, hypotension due to obstructive shock and jugular-venous distension (increased JVP in the neck) also known as Beck's triad.
Decreased systolic pressure, narrowing pulse pressure, increased venous pressure which increases jugular vein distention, and muffled heart sounds.
Cardiac tamponade is a serious medical emergency and must be treated immediately.
a stab wound to the heart can result in cardiac tamponade
no
Cardiac tamponade has an incidence of two in 10,000 the general U.S. population. Approximately 2% of cases are attributed to injuries that penetrate the chest.
Nothing!
cardiogenic
When cardiac tamponade is suspected, accurate diagnosis can be life-saving. The most accurate way to identify this condition is by using a test called an echocardiogram.
Cardiac tamponade
aspiration of pericardial fluid for diagnostic purposes or treating cardiac tamponade
Cardiac tamponade
Cardiac tamponade is a condition caused by rapid buildup of fluid (usually blood, but some conditions cause other fluids to collect) in the pericardial sac (see question below for definition of pericardium). Small amounts of fluid or fluid that accumulates over a long period of time does not cause problems, but when the fluid volume becomes too high or it accumulates rapidly, the pressure within the pericardium rises and may eventually lead to compression of the cardiac chambers, restricting filling and emptying. This is most prominent in the right sided chambers, specifically the right atrium and ventricle. Restriction of filling results in a decrease in cardiac output and eventually hypotension, shock, and (if uncorrected) death. This is a not uncommon cause of PEA (pulseless electrical activity) in traumatically injured patients. Signs and symptoms of cardiac tamponade include the classic signs of hypotension/shock, jugular venous distention and muffled heart sounds. Together, these signs bear the eponym "Beck's triad." Not all patients with cardiac tamponade will have all of these signs, however. Clinical suspicion in the appropriate setting still plays a major role in diagnosis. Other signs include those caused by these three core signs - altered mental status, weak or absent peripheral pulses, cyanosis, respiratory distress or failure, diaphoresis, tachycardia as the heart tries to compensate for a decreased output and hypotension, decreased urine output, and others. Diagnosis of cardiac tamponade is done either on appropriate clinical suspicion in appropriate patients and physical exam or by ultrasound at the bedside. Rapid bedside ultrasound will reveal a large pericardial effusion with compression of the R heart structures, particularly in diastole. This is diagnostic of cardiac tamponade. Treatment includes pericardiocentesis at bedside, either blindly or ultrasound guided or emergent pericardial window in the OR. In traumatic cases, particularly penetrating trauma, the cause is an atrial or ventricular injury or proximal aortic injury and these treatments will cause only temporary improvement with worsening again upon reaccumulation of blood. In this case, the treatment is thoracotomy and primary repair of the cardiac injury. Emergency thoractomy may be performed in the emergency department as a temporizing measure to give the patient time to make it to the OR when vital signs are lost, but overall mortality is high. See the related questions for more information.
Pericarditis is inflammation of the sac around the heart.