title: Misconceptions and facts about pericardial effusion and tamponade.
abstract: Several common misconceptions can make the clinical diagnosis of subacute pericardial tamponade challenging. Widely known physical findings of pericardial tamponade lack sensitivity and specificity. Interpretation of echocardiographic signs requires good understanding of pathophysiology. Over-reliance on echocardiography may result in over-utilization of pericardial drainage procedures. Awareness of these misconceptions with an integrative approach to both clinical and imaging data will help clinicians to assess the hemodynamic impact of pericardial effusion and the need for drainage.
authors.affiliation: Department of Medicine, St. Luke's-Roosevelt Hospital Center, Columbia University College of Physicians & Surgeons, New York, NY. Electronic address: eargulian@chpnet.org.
authors.forename: Edgar
authors.initials: E
authors.lastname: Argulian
authors.forename: Franz
authors.initials: F
authors.lastname: Messerli
mesh_terms: D001794:Blood Pressure; D002305:Cardiac Tamponade / Q000175:diagnosis* / Q000503:physiopathology; D003951:Diagnostic Errors; D004322:Drainage; D004452:Echocardiography / Q000379:methods; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D010490:Pericardial Effusion / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy
keywords: Echocardiography; Pericardial effusion; Pericardial tamponade; Pulsus paradoxus