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Eletrical alternans: the ECG in pericardial effusion & cardiac tamponade

…note that the right ventricular free wall is being compressed by the fluid. Video source.gif). ECG changes caused by pericardial effusion and cardiac tamponade…

Cardiac Tamponade: Recognition and Pericardiocentesis

…a slowly enlarging effusion may reach a much larger size before producing haemodynamic compromise. As intrapericardial pressure rises, the right atrium and right ventricle are…

ECG parameters

…40 ms Left atrial enlargement Low voltage QRS < 5 mm in the limb leads or < 10 mm in the chest leads Pericardial effusion…

Pericardiocentesis

…the only absolute indication, and always urgent. A large pericardial effusion with symptoms despite medical treatment. Diagnostic drainage in suspected purulent pericarditis, tuberculosis or malignancy…

Post-Infarction Pericarditis and Dressler Syndrome

…particularly when the effusion is substantial or when haemodynamic consequences develop. In patients with pericarditis complicated by constriction, symptoms and signs of right sided heart…

Cardiac tamponade causing cardiac arrest

…It is uncommon for chronic pericardial effusions to cause sudden cardiac arrest since these cases tend to be recognized and managed before circulatory collapse occurs…

Pericardial Effusion & Cardiac tamponade

Echocardiography Pericardial diseases: effusion and tamponade A long series of conditions can affect the pericardium (pericardium). The most common of these are acute pericarditis (perimyocarditis…

Joint aspiration

…shoulder), 0.5–0.6 × 25 mm for small joints (wrist, finger joints). A 20–50 mL syringe for a knee with a large effusion…

Pleural aspiration and chest drain

… ultrasound guidance is mandatory) Relative A very small or loculated effusion — consider image guided puncture in the radiology department The thresholds for the INR and…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…Type A IMH may cause: Aortic regurgitation Haemopericardium or pericardial effusion Aortic rupture Proximal aortic complications Malperfusion and pulse deficits are less common in type…

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