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Pericardial Effusion and Tamponade

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Echocardiography in ICU

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Suggested Readings

  1. Tsang TS, et al. Consecutive 1127 therapeutic echocardiographically guided pericardiocentesis: clinical profile, practice patterns, and outcomes spanning 21 years. Mayo Clin Proc. 2002;77:429–36.

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  2. Mekontso Dessap A, Chew MS. Cardiac tamponade. Inten Care Med. 2018;44:936–9.

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Correspondence to Paul H. Mayo .

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1 Electronic Supplementary Material

Pericardial tamponade. Apical four-chamber view with large pericardial effusion and right atrial compression (AVI 4269 kb)

Pericardial tamponade. Subcostal view with compression of the right ventricle and the right atrium (AVI 3156 kb)

Pericardial tamponade. Apical four-chamber view with right atrial compression at end diastole and early systole (AVI 55454 kb)

Pericardial tamponade. Apical four-chamber view with swinging heart (AVI 11006 kb) (AVI 11006 kb)

Pericardial tamponade. Subcostal view with chamber compression (AVI 3569 kb)

Multiple Choice Questions

Multiple Choice Questions

  1. 1.

    Regarding pericardial effusion:

    1. A.

      Is usually located in front of the right ventricle.

    2. B.

      Is usually located behind the left ventricle.

    3. C.

      From parasternal long-axis view is located behind the descending aorta.

    4. D.

      From parasternal long-axis view is located in front of the descending aorta.

    5. E.

      Could not be visualized after cardiac surgery using TTE.

    Answers: B, D, E

  2. 2.

    In a patient with shock, pericardial tamponade could be suspected when:

    1. A.

      There is a large pericardial effusion.

    2. B.

      There is a right atrial compression with pericardial effusion.

    3. C.

      There is right ventricular compression with pericardial effusion.

    4. D.

      There is large variations of tricuspid flow with large pericardial effusion.

    5. E.

      When there is large variations of aortic blood flow.

    Answers: A, B, C, D

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Mayo, P.H. (2020). Pericardial Effusion and Tamponade. In: Slama, M. (eds) Echocardiography in ICU. Springer, Cham. https://doi.org/10.1007/978-3-030-32219-9_19

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  • DOI: https://doi.org/10.1007/978-3-030-32219-9_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-32218-2

  • Online ISBN: 978-3-030-32219-9

  • eBook Packages: MedicineMedicine (R0)

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