Cardiac tamponade causes: Difference between revisions
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*[[Amyloidosis]] | *[[Amyloidosis]] | ||
*[[Amyloidosis]] | |||
*[[Anticoagulant therapy]] <ref>Longmore, M., Wilkinson, I.B., Rajagopalan, S. (2004) (6th Ed.). Oxford Handbook of Clinical Medicine. Oxford: Oxford University Press ISBN 9780198568377 </ref>. | |||
*[[Aortic dissection]] <ref>Isselbacher, E.M., Cigarroa, J.E., Eagle, K.A. (1994). Cardiac tamponade complicating proximal aortic dissection. Is pericardiocentesis harmful? Circulation. Vol 90, 2375-2378</ref> | |||
*[[Bacterial pericarditis]] | *[[Bacterial pericarditis]] | ||
*[[Bronchogenic cyst]] | |||
*[[Cancer]] | *[[Cancer]] | ||
*[[Chest trauma]] | *[[Chest trauma]] | ||
*[[Chest trauma]] (both blunt & penetrating) <ref>Gwinnutt, C., Driscoll, P. (Eds) (2003) (2nd Ed.) Trauma Resuscitation: The Team Approach. Oxford: BIOS Scientific Publishers Ltd. ISBN 978-1859960097 </ref> | |||
*[[Constrictive pericarditis]] | *[[Constrictive pericarditis]] | ||
*[[Dilated cardiomyopathy]] | *[[Dilated cardiomyopathy]] | ||
*[[Dissecting aortic aneurysm]] | *[[Dissecting aortic aneurysm]] | ||
*[[Dressler syndrome]] | *[[Dressler syndrome]] | ||
*During cardiac surgery <ref>Mattson Porth, C. (Ed.) (2005) (7th Ed.) Pathophysiology: Concepts of Altered Health States. Philadelphia : Lippincott Williams & Wilkins ISBN 978-0781749886 </ref> | |||
*[[Hypothyroidism]] | *[[Hypothyroidism]] | ||
*[[Malignancy]] | *[[Malignancy]] | ||
*[[Mycobacterium tuberculosis]] | |||
*[[Myocardial rupture]] | *[[Myocardial rupture]] | ||
*Penetrating cardiac injury | |||
*[[Pericarditis]] | *[[Pericarditis]] | ||
*Physical trauma | |||
*[[Postpericardiotomy syndrome]] | |||
*[[Pyogenic pericarditis]] | |||
*[[Rheumatic pericarditis]] | |||
*[[Scrub typhus]] | *[[Scrub typhus]] | ||
*[[ | *[[Tuberculous pericarditis]] | ||
*[[Uraemia]] | *[[Uraemia]] | ||
* | *[[Uremic pericarditis]] | ||
*[[Ventricular aneurysm]] | |||
*[[Viral pericarditis]] | |||
The effusion can occur rapidly (as in the case of trauma or myocardial rupture), or over a more gradual period of time (as in cancer). The fluid involved is often [[blood]], but [[pus]] is also found in some circumstances. <ref>Mattson Porth, C. (Ed.) (2005) (7th Ed.) Pathophysiology: Concepts of Altered Health States. Philadelphia : Lippincott Williams & Wilkins ISBN 978-0781749886 </ref> | The effusion can occur rapidly (as in the case of trauma or myocardial rupture), or over a more gradual period of time (as in cancer). The fluid involved is often [[blood]], but [[pus]] is also found in some circumstances. <ref>Mattson Porth, C. (Ed.) (2005) (7th Ed.) Pathophysiology: Concepts of Altered Health States. Philadelphia : Lippincott Williams & Wilkins ISBN 978-0781749886 </ref> |
Revision as of 22:38, 23 September 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Varun Kumar, M.B.B.S.
Overview
Causes
Cardiac tamponade occurs when the pericardial space fills up with fluid faster than the pericardial sac can stretch. If the amount of fluid increases slowly (such as in hypothyroidism) the pericardial sac can expand to contain a liter or more of fluid prior to tamponade occurring. If the fluid occurs rapidly (as may occur after trauma or myocardial rupture) as little as 100 ml can cause tamponade.[1]
Causes of increased pericardial effusion include hypothyroidism, trauma (either penetrating trauma involving the pericardium or blunt chest trauma), pericarditis (inflammation of the pericardium), iatrogenic trauma (during an invasive procedure), and ventricular rupture.
Cardiac tamponade is caused by a large or uncontrolled pericardial effusion, that is the buildup of fluid inside the pericardium. [2] This commonly occurs as a result of:
Causes in Alphabetical Order
- Amyloidosis
- Amyloidosis
- Anticoagulant therapy [3].
- Aortic dissection [4]
- Bacterial pericarditis
- Bronchogenic cyst
- Cancer
- Chest trauma
- Chest trauma (both blunt & penetrating) [5]
- Constrictive pericarditis
- Dilated cardiomyopathy
- Dissecting aortic aneurysm
- Dressler syndrome
- During cardiac surgery [6]
- Hypothyroidism
- Malignancy
- Mycobacterium tuberculosis
- Myocardial rupture
- Penetrating cardiac injury
- Pericarditis
- Physical trauma
- Postpericardiotomy syndrome
- Pyogenic pericarditis
- Rheumatic pericarditis
- Scrub typhus
- Tuberculous pericarditis
- Uraemia
- Uremic pericarditis
- Ventricular aneurysm
- Viral pericarditis
The effusion can occur rapidly (as in the case of trauma or myocardial rupture), or over a more gradual period of time (as in cancer). The fluid involved is often blood, but pus is also found in some circumstances. [7]
Myocardial rupture is a somewhat uncommon cause of pericardial tamponade. It typically happens in the subacute setting after a myocardial infarction (heart attack), in which the infarcted muscle of the heart thins out and tears. Myocardial rupture is more likely to happen in females, the elderly, patients with hypertension, and individuals without any previous cardiac history who suffer from their first heart attack and are not revascularized with thrombolytic therapy, percutaneous coronary intervention, or with coronary artery bypass graft surgery.[8] These patients often have single vessel disease without the development of collaterals.
References
- ↑ *Fornauer, Andrew (2003). "Pericardial Tamponade Complicating Central Venous Interventions". Journal of Vascular and Interventional Radiology. PMID 12582195. Unknown parameter
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ignored (help) - ↑ Mattson Porth, C. (Ed.) (2005) (7th Ed.) Pathophysiology: Concepts of Altered Health States. Philadelphia : Lippincott Williams & Wilkins ISBN 978-0781749886
- ↑ Longmore, M., Wilkinson, I.B., Rajagopalan, S. (2004) (6th Ed.). Oxford Handbook of Clinical Medicine. Oxford: Oxford University Press ISBN 9780198568377
- ↑ Isselbacher, E.M., Cigarroa, J.E., Eagle, K.A. (1994). Cardiac tamponade complicating proximal aortic dissection. Is pericardiocentesis harmful? Circulation. Vol 90, 2375-2378
- ↑ Gwinnutt, C., Driscoll, P. (Eds) (2003) (2nd Ed.) Trauma Resuscitation: The Team Approach. Oxford: BIOS Scientific Publishers Ltd. ISBN 978-1859960097
- ↑ Mattson Porth, C. (Ed.) (2005) (7th Ed.) Pathophysiology: Concepts of Altered Health States. Philadelphia : Lippincott Williams & Wilkins ISBN 978-0781749886
- ↑ Mattson Porth, C. (Ed.) (2005) (7th Ed.) Pathophysiology: Concepts of Altered Health States. Philadelphia : Lippincott Williams & Wilkins ISBN 978-0781749886
- ↑ *Meniconi, A (2000). "How to survive myocardial rupture after myocardial infarction". Heart. 84 (5). PMID 11040020. Unknown parameter
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ignored (help)