Isolated collapse of left-sided heart chambers in cardiac tamponade: Demonstration by two-dimensional echocardiography

Fusman, Benjamin; Schwinger, Matthew E.; Charney, Richard; Ausubel, Kalman; Cohen, Michael V.

doi:10.1016/0002-8703(91)90741-y

Cited by 26 publications

(8 citation statements)

References 18 publications

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“…Left ventricular collapse is rare because of the muscular nature of the LV wall. 1,64,68 When cardiac tamponade is due to a life-threatening condition, such as aortic dissection or cardiac free wall rupture, 2-dimensional echocardiography may show a coagulated mass within the pericardium.…”

Section: Diagnosismentioning

confidence: 99%

Pericardial Disease: Diagnosis and Management

Khandaker

Espinosa

Nishimura

et al. 2010

Mayo Clinic Proceedings

291

186

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Pericardial diseases can present clinically as acute pericarditis, pericardial effusion, cardiac tamponade, and constrictive pericarditis. Patients can subsequently develop chronic or recurrent pericarditis. Structural abnormalities including congenitally absent pericardium and pericardial cysts are usually asymptomatic and are uncommon. Clinicians are often faced with several diagnostic and management questions relating to the various pericardial syndromes: What are the diagnostic criteria for the vast array of pericardial diseases? Which diagnostic tools should be used? Who requires hospitalization and who can be treated as an outpatient? Which medical management strategies have the best evidence base? When should corticosteroids be used? When should surgical pericardiectomy be considered? To identify relevant literature, we searched PubMed and MEDLINE using the keywords diagnosis, treatment, management, acute pericarditis, relapsing or recurrent pericarditis, pericardial effusion, cardiac tamponade, constrictive pericarditis, and restrictive cardiomyopathy. Studies were selected on the basis of clinical relevance and the impact on clinical practice. This review represents the currently available evidence and the experiences from the pericardial clinic at our institution to help guide the clinician in answering difficult diagnostic and management questions on pericardial diseases.

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Section: Diagnosismentioning

confidence: 99%

Pericardial Disease: Diagnosis and Management

Khandaker

Espinosa

Nishimura

et al. 2010

Mayo Clinic Proceedings

291

186

View full text Add to dashboard Cite

show abstract

“…Duration of right atrial collapse exceeding one third of the cardiac cycle increases specificity without sacrificing sensitivity (31). Left atrial collapse is seen in about 25% of patients and is very specific for tamponade (3,32,33). LV collapse is less common because the wall of the LV is more muscular (3,32,33).…”

Section: Cardiac Tamponadementioning

confidence: 99%

“…Left atrial collapse is seen in about 25% of patients and is very specific for tamponade (3,32,33). LV collapse is less common because the wall of the LV is more muscular (3,32,33). Posterior loculated effusions after cardiac surgery may produce left atrial and LV diastolic collapse (34).…”

Section: Cardiac Tamponadementioning

confidence: 99%

Pericardial disease and pericardial tamponade

Hoit

2007

Critical Care Medicine

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The pericardium serves many important functions, but it is not essential for life. Pericardial heart disease comprises only pericarditis and its complications, tamponade and constriction, and congenital lesions. However, the pericardium is affected by virtually every category of disease. The critical care physician is thus likely to encounter the patient with pericardial disease in a variety of settings, either as an isolated phenomenon or as a complication of a variety of systemic disorders, trauma, or certain drugs. Echocardiography is the primary tool for diagnosing and quantifying pericardial effusions, and in the context of the clinical presentation, a thorough understanding of M-mode, two-dimensional, and Doppler findings can help not only to identify patients with impending tamponade, but also to suggest a diagnosis of constrictive pericarditis. This article reviews the pathogenesis and diagnosis of pericardial heart disease, focusing on the diagnostic utility of echocardiography, with an emphasis on those areas of greatest interest to the intensivist.

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“…The findings of heart chamber collapse are presented in order of decreasing sensitivity and increasing specificity. 25 Confirmatory findings should be specifically looked for once a chamber collapse is present. Pericardial Pathway purulent effusion.…”

Section: Pericardial Effusion Scorementioning

confidence: 99%

Novel “CHASER” Pathway for the Management of Pericardial Disease

Argulian

Halpern

Aziz

et al. 2011

Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine

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The diagnosis and management of pericardial disease are very challenging for clinicians. The evidence base in this field is relatively scarce compared with other disease entities in cardiology. In this article, we outline a unified, stepwise pathway-based approach for the management of pericardial disease. We used the "CHASER" acronym to define the entry points into the pathway. These include chest pain, hypotension or arrest, shortness of breath, echocardiographic or other imaging finding of pericardial effusion, and right-predominant heart failure. We propose a score for the assessment of pericardial effusion that is composed of the following 3 parameters: the etiology of the effusion, the size of the effusion, and the echocardiographic assessment of hemodynamic parameters. The score is applied to clinically stable patients with pericardial effusion to quantify the necessity of pericardial effusion drainage. A stepwise, pathway-based approach to the management of pericardial disease is intended to provide guidance for clinicians in decision-making and a patient-tailored evidence-based approach to medical and surgical therapy for pericardial disease. The pathway for the management of pericardial disease is the ninth project to be incorporated into the "Advanced Cardiac Admission Program" at Saint Luke's Roosevelt Hospital Center of Columbia University in New York. Further studies should focus on the validation of the feasibility, efficacy, and reliability of this pathway.

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Isolated collapse of left-sided heart chambers in cardiac tamponade: Demonstration by two-dimensional echocardiography

Cited by 26 publications

References 18 publications

Pericardial Disease: Diagnosis and Management

Pericardial Disease: Diagnosis and Management

Pericardial disease and pericardial tamponade

Novel “CHASER” Pathway for the Management of Pericardial Disease

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