Today’s Essential Teaching Image: Cardiac Tamponade

Today’s teaching image and Rapid Review covers cardiac tamponade.

Cardiac tamponade

Pericardial Tamponade

  • Patient will be complaining of dyspnea and chest pain
  • PE will show muffled heart sounds, JVD and hypotension (Beck’s triad), pulsus paradoxus 
  • ECG will show low voltage QRS, electrical alterans
  • Echocardiography will show diastolic collapse of RV
  • Treatment is pericardiocentesis

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