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Review
. 2018 May;73(5-6):277-282.

[Cardiac tamponade]

[Article in French]
A Ancion  1 , S Robinet  1 , P Lancellotti  1
Affiliations
  • PMID: 29926566
Free article
Review

[Cardiac tamponade]

[Article in French]
A Ancion et al. Rev Med Liege. 2018 May.
Free article

Abstract
in English, French

Cardiac tamponade is a vital emergency. It occurs when the accumulation of intra-pericardial fluid exceeds the pericardial adaptation capacity. Pericardial pressure is equalized with that of cardiac cavities and severe heart failure occurs, most often rapidly. Several clinical presentations are possible. The diagnosis is based on the assessment of pericardial effusion and its impact on the heart by echocardiography. Supportive treatments have limited effectiveness. The only emergency treatment is drainage of the pericardium by direct puncture or by surgical approach.

La tamponnade cardiaque est une urgence vitale. Elle survient quand l’accumulation de liquide intra-péricardique dépasse les capacités d’adaptation du péricarde. La pression péricardique s’égalise avec celle des cavités cardiaques et une insuffisance cardiaque sévère s’installe, le plus souvent rapidement. Plusieurs présentations cliniques sont possibles. Le diagnostic repose sur l’évaluation de l’épanchement péricardique et de ses répercussions sur le cœur par échocardiographie. Les mesures de supports ont une efficacité limitée. Le seul traitement d’urgence est le drainage du péricarde par ponction directe ou par abord chirurgical.

Keywords: Echocardiography; Vital emergency; Cardiac tamponade.

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