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CARDIAC TEMPONADE

-Collection of fluid in pericardium restricting ventricles to pump efficiently.

Beck’s Triad (3 signs associated with Acute Cardiac Temponade: Medical emergency)

1. Hypotension (Low arterial pressure)


2. Distended Jugular vein (distended neck veins)
3. Muffled Heart sound (Distant heart sound)

Symptoms: SOB. Weakness/ fatigue. Lightheadedness (dizziness, feeling of being faint), Cough

Causes: Cancer. Renal failure. Chest trauma. Pericarditis. TB.

Diagnosis: Echocardiography (Ultrasound of heart)

Treatment: Drainage of Fluid (Pericardiocentesis). Treatment of underlying Cause.

ECG Features: (when pericardial effusion is significant)

1. Low voltage-diminished QRS amplitudes


2. Electrical Alternans (it may also be seen in PE, Ischemia, Tachycardia)
-amplitude of QRS complexes varying from one beat to other in same lead due to swinging of
heart in pericardial space filled with fluid
3. PQ segment depression
4. Sinus Tachycardia

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