Pericardial Effusion with RA Collapse

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Cardiology Echocardiography Effusion Large Pericardial Tamponade
MDSonography
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    MDSonography
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  • Added: 26-Mar-08

Pericardial effusion with ra collapse may be or not be a sign of the cardaic tamponade.The most useful echocardiographic sign is diastolic collapse of right atrium and right ventricle. Also left atrial collapse, left ventricular collapse, marked inspiratory changes in ventricular dimensions, marked respiratory variation in Doppler velocities, and inferior vena cava plethora are the signs of tamponade. Classically, clinical features of tamponade include dyspnoea, pulsus paradoxus, tachycardia, increased jugular venous
pressure and hypotension.In pt who become hypotensive during dialysis,should be careful.

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Pericardial Effusion with RA Collapse

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  • In severe cor ...

    In severe cor pulmonale the RV pressure may be too high to collapse. I've seen this with huge RV/RA, and the LV collapses as the pericardial fluid is pushed posteriorly (in an AIDS pt).
    Here, there IS diastolic collapse of the RV especially in the PLAX. More loops, perhaps with the respirometer and good old M-Mode. It is bold to suggest the RA is irrelevant in any case with a large pericardial effusion. I don't think there's any question that this pt has a swinging heart and is in trouble.

    By echojenic [Affiliate User] 1222130478 Reply Spam Moderate Up Moderate Down
  • Is there any ...

    Is there any correlation between any eco finding and the presence of pulsus paradoxus?

    By andy372 [Affiliate User] 1221152668 Reply Spam Moderate Up Moderate Down
  • just wanted to say ...

    just wanted to say in order for it to be classified as tamponade you must see the right ventricle collapse during diastole. the right atrial collapse is irrelevant in the diagnosis of cardiac tamponade. w/ tamponade the rt ventricle must collapse and rt atrium may or may not collapse as well.sorry im bored

    By rickydarat [Affiliate User] 1212187896 Reply Spam Moderate Up Moderate Down
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