The full content of Annals is available to subscribers

Subscribe/Learn More  >
Brief Reports |

Recognition of Cardiac Tamponade in the Presence of Severe Pulmonary Hypertension

Martin J. Frey, MD; Barbara Berko, MD; Harold Palevsky, MD; John W. Hirshfeld Jr., MD; and Howard C. Herrmann, MD
[+] Article, Author, and Disclosure Information

Requests for Reprints: Howard C. Herrmann, MD, Cardiovascular Section, 9 Founder's Pavilion, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104.

Current Author Addresses: Dr. Frey: Sarasota Heart Center, 1950 Arlington Street, Sarasota, FL 34239.

Dr. Berko: The Medical Center at Princeton, 253 Witherspoon Street, Princeton, NJ 08540.

Dr. Palevsky: Cardiovascular-Pulmonary Division, 975 Maloney Building, Hospital of the University of Pennsylvania, 3600 Spruce Street, Philadelphia, PA 19104.

Drs. Hirshfeld and Herrmann: Cardiovascular Section, 9 Founder's Pavilion, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104.

Ann Intern Med. 1989;111(7):615-617. doi:10.7326/0003-4819-111-7-615
Text Size: A A A
This excerpt has been provided in the absence of an abstract.

The clinical features of cardiac tamponade in a patient with a pericardial effusion may include dyspnea, elevated systemic venous pressure, and pulsus paradoxus. Right ventricular diastolic collapse (RVDC) on M-mode or two-dimensional echocardiography is an early and sensitive sign providing additional evidence for the diagnosis of tamponade (1). The hemodynamic observations of elevated and equal diastolic pressures in all cardiac chambers, hypotension, and a decreased cardiac output that return to normal after removal of the effusion confirm the diagnosis (2). However, the clinical recognition of cardiac tamponade in patients with pulmonary hypertension is more difficult. These patients typically have elevated


First Page Preview

View Large
First page PDF preview





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $42.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Journal Club
Related Point of Care
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.