Cardiac Tamponade

Excess fluid between the parietal and pleural layers surrounding the heart restrict the contraction of the heart; early signs of cardiac tamponade may be a narrowing range between systolic and diastolic blood pressures and elevated jugular venous distension.

Pericarditis, an infection within the pericardial sac, can cause increased friction between the inner surfaces of these layers. Chest discomfort is common. A friction rub, a sound similar to that produced by rubbing leather together – may also result. Note also that an accumulation of relatively small amounts of fluid (200 ml) in this pericardial sac – pericardial effusions – can straight jacket the heart’s ability to contract. This condition called cardiac tamponade may result in little or no cardiac output.

1. Six Second ECG Guidebook (2012), T Barill, p. 10, 193

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Dynamic ECG rhythm interpretation
Static ECG rhythm interpretation
Clinical Impact Mapping
Acute Coronary Syndromes Overview
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ST Segment & T Wave Differential
Identify Bundle Branch Blocks
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Electrical Axis
R Wave Progression
Left Bundle Branch Blocks with ACS
Atypical Findings
Acute Non-Ischemic Disease Conditions
Special Cases

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