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Low-Pressure Cardiac Tamponade

[+] Article, Author, and Disclosure Information

Grant support: in part by National Heart, Lung, and Blood Institute Training Grant HL 07049-03, National Institutes of Health. Dr. Grossman is an Established Investigator of the American Heart Association.

▸Requests for reprints should be addressed to William Grossman, M.D.; Cardiovascular Division, Peter Bent Brigham Hospital; 721 Huntington Avenue; Boston, MA 02115.

Boston, Massachusetts

© 1979 American College of PhysiciansAmerican College of Physicians

Ann Intern Med. 1979;91(3):403-406. doi:10.7326/0003-4819-91-3-403
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An elderly man developed cardiac tamponade from a tuberculous pericardial effusion but without such typical manifestations as pulsus paradoxus and jugular-vein distension. This case illustrates the difficulties in clinical recognition of low-pressure cardiac tamponade, which can develop in the presence of dehydration and hypovolemia. The hemodynamic factors that account for this phenomenon are discussed.





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