• Objective This study was undertaken to determine the clinical profile of patients undergoing emergency surgery after balloon mitral valvotomy, to note operative findings and compare them with those of transthoracic echocardiography, to describe the mechanisms of complications, and to describe outcomes. (amrita.edu)
  • Transthoracic echocardiography showed a thickened pericardium with pericardial effusion, but no evidence of cardiac tamponade. (spandidos-publications.com)
  • Patients with clinical suspicion of pericardial effusion following surgery were evaluated by transthoracic or transesophageal echocardiography, and clinical parameters were analyzed. (qxmd.com)
  • It provides numerous types of echocardiographic information, including two-dimensional or three-dimensional images, M-mode, color flow imaging, Doppler studies, and related calculations, such as transthoracic echocardiography (TTE). (ceemjournal.org)
  • of transthoracic echocardiography (TTE) for the diagnosis of cardiac tamponade after cardiac surgery. (egfrsignals.com)
  • After initial investigation and transthoracic echocardiography, emergent pericardial drainage was performed for downgrading the urgency of a definitive treatment for a hydatid cyst. (scipedia.com)
  • 4 The transthoracic approach is often sufficient, but the transesophageal route must be preferred in intubated patients following trauma or cardiac surgery in whom loculated or extrapericardial tamponade may result in nonspecific clinical presentation. (acls.com)
  • Parasternal wounds were routinely screened for haemopericardium using transthoracic echocardiography. (deepdyve.com)
  • Our review will be centered on transthoracic echocardiography, although it might also be used by transesophageal echocardiography. (springeropen.com)
  • A second transthoracic echocardiography confirmed severe depression of left ventricular function, with thickening of left ventricle walls, and pericardic effusion without cardiac tamponade. (itjem.org)
  • Heart involvement is anecdotal, and <30 cases of cardiac RDD (cRDD) have been reported so far.Case Presentation: A 46-year old woman with positive clinical history for RDD was admitted to our cardiology department with transthoracic echocardiography diagnosis of severe pericardial effusion and right atrial masses. (unimi.it)
  • Both transoesophageal and transthoracic echocardiography are addressed and over 300 videos, 470 figures and, 140 mcqs are included making this an ideal adjunct for courses for intensivists. (digibookee.com)
  • The primary endpoint was LAA closure as determined by transesophageal echocardiography (TEE) two months after the procedure and stroke rate at 150 patient years. (nih.gov)
  • Elevated temperature .C, difficulty swallowing, regurgitation, and transesophageal echocardiography has excellent penetration into the bronchi. (elastizell.com)
  • Transesophageal echocardiography (TEE) is an imaging method that facilitates close observation of the heart without interfering with cardiopulmonary resuscitation (CPR). (ceemjournal.org)
  • Intra-arrest transesophageal echocardiography can be used as a point-of-care ultrasound method to diagnose the cause of cardiac arrest, determine the presence of cardiac contractions, evaluate the quality of CPR, assist with catheter insertion, and explore the mechanism of blood flow during CPR. (ceemjournal.org)
  • Transesophageal echocardiography (TEE) is a diagnostic tool that can obtain images of the heart from its nearest location. (ceemjournal.org)
  • The report discusses preoperative and intraoperative management of this condition and relevant transesophageal echocardiography (TEE) imaging that aided in the diagnosis and surgical repair of the perforation. (socca.org)
  • The core echocardiographic findings of pericardial tamponade consist of: a pericardial effusion, diastolic right ventricular collapse (high specificity), systolic right atrial collapse (earliest sign), a plethoric inferior vena cava with minimal respiratory variation (high sensitivity), and exaggerated respiratory cycle changes in mitral and tricuspid valve in-flow velocities as a surrogate for pulsus paradoxus. (nih.gov)
  • it may be encountered in a number of cardiac conditions associated with high rates of conduction, including atrial fibrillation , Wolff-Parkinson-White Syndrome , ventricular tachycardia, SVT, and accelerated idioventricular rhythm. (medscape.com)
  • With echocardiography, the location of the effusion can be identified, the size can be estimated (small, medium, or large), and the hemodynamic effects can be examined by assessing for abnormal septal motion, right atrial or right ventricular inversion, and decreased respiratory variation of the diameter of the inferior vena cava. (medscape.com)
  • The left ventricular function and cardiac valves were normal ( Fig. 2 ). (spandidos-publications.com)
  • Cardiac tamponade is a clinical syndrome caused by the accumulation of fluid in the pericardial space, resulting in reduced ventricular filling and subsequent hemodynamic compromise. (medscape.com)
  • Echocardiography can be used to visualize ventricular and atrial compression abnormalities as blood cycles through the heart. (medscape.com)
  • The phenomenon of ventricular interdependence explains the clinical findings of cardiac tamponade. (emdocs.net)
  • Cardiac output can be maintained, provided the right ventricular pressure exceeds the right atrial pressure. (emdocs.net)
  • Cardiac tamponade can also happen a few days after a myocardial infarction , because the weak, infarcted ventricular wall ruptures when it's exposed to the high ventricular pressures. (osmosis.org)
  • Tamponade reduces the force of myocardial contractions because fluid trapped in the pericardial space compresses the heart, in turn reducing ventricular filling and causing hemodynamic compromise. (myamericannurse.com)
  • Myocardial involvement occurs in up to 12% of influenza 3 and its clinical expression varies from asymptomatic to fulminant myocarditis: this latter fearsome complication is characterized clinically by distinct onset of cardiac symptoms in otherwise young healthy patients after nonspecific flu-like symptoms, rapidly resulting in severe ventricular dysfunction and cardiogenic shock, with a mortality rate up to 30% 4 . (itjem.org)
  • right ventricular systolic function was normal and no signs of acute pulmonary embolism or cardiac tamponade were noted. (itjem.org)
  • Postoperative echocardiography confirmed absence of any residual defect and ventricular dysfunction. (rbccv.org.br)
  • Signs of cardiac tamponade typically include those of cardiogenic shock including shortness of breath, weakness, lightheadedness, cough and those of Beck's triad e.g. jugular vein distention, quiet heart sounds and hypotension. (wikipedia.org)
  • Cardiac tamponade will usually present with hypotension , muffling of heart sounds, and accentuated neck veins. (symptoma.com)
  • These patients often develop frequent ascites and present with clinical signs and symptoms similar to cardiac tamponade (tachycardia, hypotension and dyspnea ). (symptoma.com)
  • At this point, diastolic filling of the right ventricle is impaired, resulting in decreased cardiac output and hypotension [5]. (emdocs.net)
  • confirmed tamponade, TTE showed 64.5% sensitivity, whereas hypotension was selleck inhibitor present in 92.0%, oliguria in 80.6% and metabolic acidosis in 45.1% (p smaller than 0.001). (egfrsignals.com)
  • Among patients with unconfirmed tamponade, TTE showed 90.9% specificity, whereas hypotension was present in 54.5% patients, oliguria in 81.8% and metabolic acidosis in 45.4% (p=0.07). (egfrsignals.com)
  • Cardiac tamponade often presents as a cardiogenic obstructive shock with shortness of breath, tachycardia, hypotension with a narrow pulse pressure (but blood pressure may be preserved in some cases), 2 and pulsus paradoxus (an inspiratory fall of systolic blood pressure of more than 10 mmHg during normal spontaneous breathing), which is an important diagnostic finding in CT. (acls.com)
  • 7 Jugular venous distention, marked hypotension, and muffled heart sounds (Beck's triad) are the three classic signs of cardiac tamponade. (acls.com)
  • Reduction in myocardial contractility results in decreased cardiac output, hypotension, systemic vasoconstriction, and cardiac ischemia. (medscape.com)
  • The American Society of Echocardiography designates this live activity for a maximum of 33 AMA PRA Category 1 CreditsTM. (allcongress.com)
  • The American Society of Echocardiography is committed to ensuring that its educational mission and all educational programs are not influenced by the special interests of any corporation or individual, and its mandate is to retain only those speakers whose financial interests can be effectively resolved to maintain the goals and educational integrity of the program. (allcongress.com)
  • The American Society of Echocardiography (ASE) has specifically designed the ASCeXAM/ReASCE Review Course as a preparatory course for the National Board of Echocardiography, Inc.TM (NBE) ASCeXAM® and ReASCE® examinations. (allcongress.com)
  • Owing to the increasing use of TEE during resuscitation (intra-arrest TEE), the American College of Emergency Physicians and the American Society of Echocardiography have jointly published guidelines for point-of-care applications in CA resuscitation [ 3 ]. (ceemjournal.org)
  • Pericardial tamponade is neither a clinical nor an echocardiographic diagnosis alone. (nih.gov)
  • Historically, the diagnosis of cardiac tamponade has been based on clinical findings. (medscape.com)
  • Claude Beck, a cardiovascular surgeon, described two triads of clinical findings that he found associated with acute and chronic cardiac tamponade. (medscape.com)
  • Although echocardiography provides useful information, cardiac tamponade is a clinical diagnosis. (medscape.com)
  • In tamponade physiology, this decrease in stroke volume is exaggerated and is responsible for the clinical finding of pulsus paradoxus (discussed later) [2, 5, 7]. (emdocs.net)
  • However, its high false negativity rate for diagnosis of cardiac tamponade should be kept in mind to prevent further delay in patients with high clinical suspicion. (egfrsignals.com)
  • Pericardiocentesis with catheter insertion was performed 3 days after the admission due to clinical evidence of cardiac tamponade. (unimi.it)
  • Regular clinical and echocardiography evaluation was performed without pericardial effusion recurrence after 2 years of follow-up.Conclusions: This is the first case ever reported of cRDD who survived after 2 years of follow-up. (unimi.it)
  • In most cases, clinical examination and echocardiography are sufficient for diagnosis and management. (medscape.com)
  • Clinical presentation of cardiac [8] showed that chest pain may arise to be severe enough in the field to kill a echinococcosis depends on the site, secondary to intrapericardial rupture significant number of cysts. (who.int)
  • This procedure can be life saving in patients with cardiac tamponade, even when it complicates acute type A aortic dissection and when cardiothoracic surgery is not available. (medscape.com)
  • The common causes of CA diagnosed using intra-arrest TEE include cardiac tamponade, aortic dissection, pulmonary embolism, and intracardiac thrombus, which can be observed on a few simple image planes at the mid-esophageal and upper esophageal positions. (ceemjournal.org)
  • If the aortic dissection ruptures through the wall of the aorta and through the fibrous pericardium, blood can spill right into the pericardial cavity, leading to cardiac tamponade . (osmosis.org)
  • The true incidence of cardiac tamponade is difficult to estimate, but pericardial diseases likely to progress to tamponade include some infectious diseases (e.g., human immunodeficiency virus infection or tuberculosis), malignancies, renal failure, trauma/iatrogenic, and hemopericardium in aortic dissection and rupture of the heart after acute myocardial infarction. (acls.com)
  • 12 At postmortem, cardiac tamponade is most often related to hemopericardium, attributable to either ruptured acute myocardial infarction or dissecting aortic aneurysm. (acls.com)
  • Alternans due to cardiac motion is the most well-known mechanism of electrical alternans, encountered in large pericardial effusions and cardiac tamponade. (medscape.com)
  • [ 3 ] Cardiac ultrasonography is now accepted as the criterion standard imaging modality for the assessment of pericardial effusions and the dynamic findings consistent with cardiac tamponade. (medscape.com)
  • Moreover, a 2017 retrospective study (2007-2012) of 18 nontrauma patients diagnosed with large pericardial effusions or tamponade in an emergency department suggests that point-of-care ultrasonography (POCUS) may be effective in identifying pericardial effusions and guiding appropriate treatment, with a resultant decreased time to pericardiocentesis and decreased length of hospital stay. (medscape.com)
  • Pericardial effusions resulting in cardiac tamponade (CT) are uncommon after open heart surgery (OHS) and are associated with significant morbidity and mortality. (qxmd.com)
  • one-third of the effusions were considered large by echocardiography. (qxmd.com)
  • About 7% to 10% of patients with pericardial effusions are at risk for cardiac tamponade, which is a medical emergency. (myamericannurse.com)
  • Echocardiography and Other Ultrasound Procedures Ultrasonography uses high-frequency (ultrasound) waves bounced off internal structures to produce a moving image. (msdmanuals.com)
  • Echocardiography (which uses ultrasound waves to produce an image of the heart) is usually done to confirm the diagnosis. (msdmanuals.com)
  • TEE in the ED has been used in urgent situations such as cardiac arrest (CA). Recent cardiopulmonary resuscitation (CPR) guidelines recommend or suggest the use of point-of-care ultrasound as a method to determine the reversible cause of CA during CPR, thus encouraging the use of echocardiography during the performance of advanced life support [ 1 , 2 ]. (ceemjournal.org)
  • Are you a Cardiologist, Physician or Internist, wants to gain practical proficiency in performing and interpreting cardiac ultrasound scans? (globalinstituteofhealthsciencebd.com)
  • Are you a Sonologist looking to develop your Cardiac ultrasound skills? (globalinstituteofhealthsciencebd.com)
  • Are you seeking to utilize cardiac ultrasound for assessment of valvular disease? (globalinstituteofhealthsciencebd.com)
  • Do you want to apply Cardiac ultrasound in a critical arrest scenario? (globalinstituteofhealthsciencebd.com)
  • This narrative review describes the main applications of de la ultrasonografía en ultrasound in anesthesia, ultrasound-guided techniques, and current trends in the perioperative anesthetic management of anestesia the surgical patient. (bvsalud.org)
  • Jaundice may or may appear to affect the entire neuraxis and csf only during cardiac or pulmonary artery catheterization may be helpful. (elastizell.com)
  • Changes are related to variations in intrathoracic and intraabdominal pressure, systemic and pulmonary venous return, intrapericardial pressure, pericardial constraint and interdependence between the four cardiac chambers. (biomedcentral.com)
  • Inspiratory movements do not only decrease the amount of cardiac tissues that lies close to the sternum through anterior pulmonary expansion, but also produce a posterior displacement and rotation of the heart relative to a fixed echo beam [ 2 ]. (biomedcentral.com)
  • Additional file 3: Influence of pulmonary interference on echocardiographic visualization of cardiac structures during normal respiration. (biomedcentral.com)
  • During inspiration pulmonary interference does not allow the visualization of cardiac structures. (biomedcentral.com)
  • o Cardiac tamponade and acute pulmonary embolism. (globalinstituteofhealthsciencebd.com)
  • What echocardiographic findings suggest a pericardial effusion is causing tamponade? (nih.gov)
  • This narrative review will summarize the echocardiographic findings and associated pathophysiology that support the diagnosis of pericardial tamponade. (nih.gov)
  • The emergency physician must recognize and understand the core echocardiographic findings and associated pathophysiology that suggest pericardial tamponade. (nih.gov)
  • Additional file 4: Influence of expiration on echocardiographic visualization of cardiac structures. (biomedcentral.com)
  • 9 The main echocardiographic sign of cardiac tamponade is heart collapse. (acls.com)
  • 1 Cardiac hydatid cysts are mostly intramyocardial and are usually located in the left ventricle, followed by the interventricular septum and the right ventricle. (scipedia.com)
  • This case is the first to describe a patient who developed cardiac tamponade from a Protek Duo cannula perforation of the right ventricle. (socca.org)
  • Cardiac tamponade is caused by a large or uncontrolled pericardial effusion, i.e. the buildup of fluid inside the pericardium. (wikipedia.org)
  • Cardiac tamponade is pressure on the heart by blood or fluid that accumulates in the two-layered sac around the heart (pericardium). (msdmanuals.com)
  • In cardiac tamponade, fluid or blood accumulates between the two layers of the pericardium, which then tightly squeezes the heart. (msdmanuals.com)
  • Because of the constraining effect of the pericardium on the combined volume of the four cardiac chambers, respiratory variation in intrapericardial pressure results in reciprocal variation in the filling of both ventricles [ 1 ]. (biomedcentral.com)
  • Because cardiac tamponade is a medical emergency, immediate attempts to evacuate the blood from the pericardium is of utmost priority to avoid mortality and further morbidity. (symptoma.com)
  • So in cardiac tamponade there's a buildup of fluid in the pericardium , and that fluid puts pressure on the outside of the heart. (osmosis.org)
  • can lead to tamponade, because the pericardium doesn't have time to stretch and accommodate it. (osmosis.org)
  • 10 If fluid accumulation is gradual, pericardial pressure remains low because the pericardium can increase its compliance by undergoing stretch, which is accomplished by an increase in surface area and mass. 5 With continued accumulation of fluid, the intrapericardial pressure eventually increases and becomes high enough to impede cardiac filling-at which time, cardiac function becomes impaired and cardiac tamponade can be considered to be present. (acls.com)
  • The thickened pericardium severely restricts cardiac filling. (lecturio.com)
  • It is the involvement of the pericardium by different aspects and causes a set of signs and symptoms, some of their own, others cardiac and others corresponding to the disease of origin. (semiologiaclinica.com)
  • Anesthetic management of pericardial tamponade is requiring full use of abilities for anesthesiologists because of associated cardiovascular problems inherent to this condition, with its associated comorbidities. (springeropen.com)
  • Because 2-dimensional echocardiography permits direct visualization of cardiac structures and adjacent vital organs, the procedure now is performed with minimal risk. (medscape.com)
  • The patient may be ineffec- tive or may not be associated with acute gastroenteritis, acute appendicitis, torsion or rupture of membranes do not live up to of women and is an indication lilly cialis of cardiac output lowers systemic oxygen delivery. (elastizell.com)
  • Systemic venous return is also altered during tamponade. (medscape.com)
  • Systemic blood pressure in cardiac tamponade is temporarily maintained by the sympathetic nervous system via tachycardia and peripheral vasoconstriction. (emdocs.net)
  • bed into the left ventricle, from where or intramyocardial, However, when a Most patients with calcification of it could reach any part of the body cyst is located in subendocardial en- the cyst wall remain asymptomatic for through systemic circulation [1-3]. (who.int)
  • Postoperative cardiac tamponade in the modern surgical era. (qxmd.com)
  • Most patients are transferred to an intermediate care unit or the postoperative cardiac surgical floor on the first postoperative day. (thoracickey.com)
  • Intra-arrest TEE is performed to explore the mechanism of blood flow during CPR, diagnose the possible cause of CA, monitor the presence of cardiac contraction, assess the effectiveness of chest compression, guide catheter cannulation, and evaluate the complications of CPR. (ceemjournal.org)
  • Minithoracotomy with femoral cannulation for cardiopulmonary bypass is a safe-approach for selected group of patients with device migration following transcatheter device closure of atrial septal defect without increasing the risk of cardiac, vascular or neurological complications and with good cosmetic and surgical results. (rbccv.org.br)
  • Cardiac tamponade may occur in up to 50% of patients with malignant, tuberculous, or bacterial disease while only 10-15% of patients with idiopathic etiologies progress to tamponade physiology [2-4]. (emdocs.net)
  • It is often encountered in critically ill patients in intensive care units and can rarely be triggered by pericardial tamponade. (najah.edu)
  • o Demonstrate the ability to incorporate knowledge obtained from bedside echocardiography into the care of critically ill patients. (globalinstituteofhealthsciencebd.com)
  • Subsequent studies have shown that these classic findings are observed in only a minority of patients with cardiac tamponade. (medscape.com)
  • Immediate thoracotomies were performed in patients who were in a state of shock (e.g. tamponade and visible haemorrhage), where major cardiac or vascular injuries were suspected or where abnormal chest CT findings required operative intervention. (deepdyve.com)
  • This always explains the diagnostic findings of the Doppler echocardiography (Rehman et al. (eminencepapers.com)
  • Although the patient's condition temporarily improved, with decreased levels of serum mesothelin during chemotherapy with carboplatin and pemetrexed, she succumbed to cardiac tamponade 18 months after the initial onset of the symptoms. (spandidos-publications.com)
  • The diagnosis is based on symptoms, examination results, and usually ultrasonography of the heart (echocardiography) done in the emergency department. (msdmanuals.com)
  • Symptoms vary with the acuteness and underlying cause of the tamponade. (medscape.com)
  • In patients with a hemodynamically significant effusion, patient present with signs and symptoms of impaired cardiac function [3]. (emdocs.net)
  • Patients with acute tamponade may present with dyspnea, tachycardia, and tachypnea. (medscape.com)
  • Tachycardia is the initial cardiac response to these changes to maintain the cardiac output. (medscape.com)
  • The echocardiogram carries diagnostic value and should be performed when there is suspicion for tamponade based on the history and physical exam. (nih.gov)
  • and Dr. Atalay is Director of Cardiac MRI and CT at Rhode Island Hospital, and an Associate Professor of Diagnostic Imaging and Cardiology at the Warren Alpert School of Medicine at Brown University, Providence, RI. (medscape.com)
  • 10 Cardiac tamponade is characterized by hemodynamic instability due to heart compression by the accumulation of fluid, blood, clots, or gas in the pericardial space. (acls.com)
  • Due to device migration to site of difficult access through thoracotomy, cardiac tamponade and hemodynamic instability, respectively, three patients were operated through midline sternotomy. (rbccv.org.br)
  • In our #AMReport at @WCHospital (or #WCHMorningReport ), we discussed a case of cardiac tamponade in a patient presenting with new-onset exertional dyspnea and low voltage QRS complexes on ECG. (wchcmr.org)
  • Cardiac tamponade, also known as pericardial tamponade (/ˌtæm.pəˈneɪd/), is a compression of the heart due to pericardial effusion (the build-up of pericardial fluid in the sac around the heart). (wikipedia.org)
  • Cardiac tamponade is clinically defined as the accumulation of fluid such as blood in the pericardial sac which alters cardiac filling. (symptoma.com)
  • Diminished or muffled heart sounds - This auscultatory finding is observable in cardiac tamponade patients due to the displacement of the heart secondary to the fluid accumulation . (symptoma.com)
  • As little as 100 mL of pericardial fluid can increase intrapericardial pressure enough to develop cardiac tamponade in the acute setting. (emdocs.net)
  • Cardiac tamponade is defined as the accumulation of massive volumes of pericardial fluid in the heart, resulting in abrupt heart failure. (jrmds.in)
  • It can develop into cardiac tamponade depending on how much fluid there is and how quickly that fluid accumulates. (osmosis.org)
  • If fluid accumulation comes on rapidly or the effusion is large, cardiac tamponade may occur. (myamericannurse.com)
  • Just 150 mL of rapidly accumulating fluid can severely compromise cardiac output, whereas 1,000 mL of gradually accumulating fluid may not significantly affect heart function because of adaptive pericardial stretching. (myamericannurse.com)
  • Echocardiography guides needle positioning and helps monitor fluid drainage. (myamericannurse.com)
  • The physical signs of low cardiac output with silent heart, enlarged area of dullness further strengthen the diagnosis which is confirmed by demonstrating the fluid in the pericardial sac on echocardiography. (ptmasterguide.com)
  • The chest radiograph may show a normal cardiac silhouette, in the absence of effusion, or of a larger size, with rectified edges, if there is a moderate increase in pericardial fluid. (semiologiaclinica.com)
  • Prompt diagnosis is key to reducing the mortality risk for patients with cardiac tamponade. (medscape.com)
  • Dysphoria - This is a restless behavior exhibited by patients with cardiac tamponade as reaction to impending death [5]. (symptoma.com)
  • Patients presenting with low blood pressure while in cardiac tamponade are unable to exhibit the Kussmaul sign, jugular venous distention, and pulsus paradoxus due to the hypovolemic state of the system. (symptoma.com)
  • Patients presenting to the ER with a complaint of chest pain need to be thoroughly examined and undergo a number of tests, studying not only cardiac function, but also ruling out abdominal or respiratory causes, particularly in those patients who cannot be safely discharged without a diagnosis [8]. (americanhhm.com)
  • Following a brief stay in the intensive care unit, most patients undergoing cardiac surgical procedures follow a routine pattern of recovery. (thoracickey.com)
  • Pericardial effusion with tamponade should be considered in any patient with shortness of breath, chest pain or trauma, or an autoimmune, cardiac, or infectious disorder. (myamericannurse.com)
  • A 55-year-old man (72 kg, 175 cm) was diagnosed with pericardial tamponade while being monitored in coronary intensive care unit (CCU) due to heart failure. (springeropen.com)
  • When a chest tube becomes occluded or clogged, the blood that should be drained can accumulate around the heart, leading to tamponade. (wikipedia.org)
  • Chest injuries can also cause cardiac tamponade. (msdmanuals.com)
  • Even blunt trauma like a steering wheel getting pushed into your chest during a car crash can lead to tamponade, because the force of the impact causes the rupture of lots of small blood vessels. (osmosis.org)
  • An enlarged heart on chest x-ray may suggest the diagnosis, which can be confirmed with echocardiography. (mhmedical.com)
  • Cardiac hydatid cysts are uncom- ventricle, local intracavitary rupture is shells protect them from environmental mon in cases of hydatid disease. (who.int)
  • Tachypnea - This is a compensatory reaction of the lungs to oxygenate the blood in the advent of a decreasing cardiac output . (symptoma.com)
  • A 25 year old male came to Acharya Vinoba bhave hospital sawangi meghe, wardha with the chief complaint of swelling over left supra clavicular region since 10 months, breathlessness since one and half month, cough and mucus expert rate since one and half month after all the investigation he is diagnosed as the pleural effusion with cardiac tamponade with pigtail catheter with the small lymphocytic lymphoma with the hepatosplenomegaly. (jrmds.in)