[Diastolic compression of the right atrium and right ventricle as an echocardiographic sign of pericardial tamponade. Case report].
A 33 years old female patient requiring regular hemodialysis for chronic renal failure exhibited a severe hypotensive episode. 2-dimensional echocardiography enabled rapid recognition of the underlying cause. 2-dimensional echocardiography revealed a large pericardial effusion and from the apical window a marked diastolic compression of the right atrium and the right ventricle was noted. These findings have been previously described to be specific for cardiac tamponade. After removal of 400 ml of fluid by pericardiocentesis the clinical symptoms rapidly improved and in the 2-dimensional echocardiography diastolic compression of the right sided heart chambers was not longer evident, although a substantial amount of pericardial fluid was still present. This case report underlines the clinical usefulness of 2-dimensional echocardiography for the diagnosis of cardiac tamponade.
D000328:Adult; D002305:Cardiac Tamponade / Q000175:diagnosis* / Q000209:etiology; D004322:Drainage; D004452:Echocardiography; D005260:Female; D006325:Heart Atria / Q000473:pathology*; D006352:Heart Ventricles / Q000473:pathology*; D006801:Humans; D007022:Hypotension / Q000209:etiology; D010490:Pericardial Effusion / Q000150:complications / Q000628:therapy
Diastolische Kompression des rechten Vorhofes und des rechten Ventrikels als echokardiographisches Zeichen der Perikardtamponade. Fallbericht.