Low-pressure cardiac tamponade.
An elderly man developed cardiac tamponade from a tuberculous pericardial effusion but without such typical manifestations as pulsus paradoxus and jugular-vein distension. This case illustrates the difficulties in clinical recognition of low-pressure cardiac tamponade, which can develop in the presence of dehydration and hypovolemia. The hemodynamic factors that account for this phenomenon are discussed.
D000368:Aged; D002305:Cardiac Tamponade / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D004452:Echocardiography; D004562:Electrocardiography; D006439:Hemodynamics; D006801:Humans; D008297:Male; D010490:Pericardial Effusion / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D010495:Pericarditis, Tuberculous / Q000150:complications* / Q000473:pathology; D014381:Tuberculosis, Cardiovascular / Q000150:complications*