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Elevated arterial blood pressure in cardiac tamponade

Article Abstract:

Elevated blood pressure may occur in patients with cardiac tamponade who have a history of hypertension. Cardiac tamponade is compression of blood returned to the heart from the body, and it is caused by fluid accumulation in the membrane surrounding the heart. Of 18 patients with cardiac tamponade, six had elevated blood pressure. All the patients with elevated blood pressure had a history of hypertension. In all six patients, blood pressure decreased significantly and cardiac output increased after the excess fluid was removed from the membrane surrounding the heart. Three of the patients with normal blood pressure had a history of hypertension. Removing fluid from the heart's membrane increased systolic blood pressure and increased cardiac output in these patients. Most patients with cardiac tamponade have normal or slightly lower blood pressure because the heart has a decreased capacity to pump blood.

Author: King, Anthony, Brown, Jay, MacKinnon, David, Vanderbush, Eric
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 1992
Hypertension, Causes of

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Does this patient with a pericardial effusion have cardiac tamponade?

Article Abstract:

The accuracy of the history, physical examination and basic diagnostic tests for the diagnosis of cardiac tamponade, which is a state of hemodynamic compromise resulting from cardiac compression by fluid trapped in the pericardial space, is assessed. The results show that among patients with cardiac tamponade, very few will not have dyspnea, tachycardia, elevated jugular venous pressure or cardiomegaly on chest radiograph.

Author: Choudhry, Niteesh K., Brookhart, M. Alan, Roy, Christopher L., Minor, Melissa A.
Publisher: American Medical Association
Publication Name: JAMA, The Journal of the American Medical Association
Subject: Health
ISSN: 0098-7484
Year: 2007
Usage, Risk factors, Echocardiography, Pericardial effusion, Clinical report

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Acute cardiac tamponade

Article Abstract:

The symptoms, diagnosis, and treatment of cardiac tamponade are reviewed. Cardiac tamponade occurs when blood fills the membrane that surrounds the heart. This squeezes the heart and makes it hard for the heart to beat properly. This is a life-threatening condition that must be diagnosed and treated quickly.

Author: Spodick, David H.
Publisher: Massachusetts Medical Society
Publication Name: The New England Journal of Medicine
Subject: Health
ISSN: 0028-4793
Year: 2003
Care and treatment, Physiological aspects

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Subjects list: Complications and side effects, Cardiac tamponade, Diagnosis
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