title: Cardiac tamponade in a neonate: a dreadful condition--need for functional echo.
abstract: Cardiac tamponade is a clinical emergency. Detection of a swinging heart rate is one of the earliest markers of large pericardial effusion, in which the four cardiac chambers are free to float in a phasic manner. We present a case of a preterm baby, one of the twins, who developed sudden onset of deterioration in the form of swinging heart rate, fluctuation in blood pressure and desaturation, requiring emergency intubation and inotropic support. Bedside functional echo was performed, which demonstrated cardiac tamponade; an immediate echocardiography-guided tap was initiated and fluid was aspirated from the pericardial space.
authors.affiliation: Department of Neonatology, Manipal Hospital, Bangalore, Karnataka, India.
authors.forename: Venkatesh Harohalli Aswathanarayana
authors.initials: VH
authors.lastname: Iyer
authors.affiliation: Department of Neonatology, Manipal Hospital, Bangalore, Karnataka, India.
authors.forename: Deepa Mohan
authors.initials: DM
authors.lastname: Sharma
authors.affiliation: Department of Neonatology, Manipal Hospital, Bangalore, Karnataka, India.
authors.forename: Siddhu
authors.initials: S
authors.lastname: Charki
authors.affiliation: Department of Neonatology, Manipal Hospital, Bangalore, Karnataka, India.
authors.forename: Pankaj Kumar
authors.initials: PK
authors.lastname: Mohanty
mesh_terms: D001794:Blood Pressure; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy; D002316:Cardiotonic Agents / Q000627:therapeutic use; D004452:Echocardiography; D005260:Female; D006321:Heart / Q000503:physiopathology*; D006339:Heart Rate; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy; D007234:Infant, Premature; D007440:Intubation; D010490:Pericardial Effusion / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy; D010496:Pericardium / Q000601:surgery; D013396:Suction / Q000379:methods; D014427:Twins
chemical_list: D002316:Cardiotonic Agents