Question: Is venous distension always present in pericardial tamponade?
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Unique Identifier 79254016
Authors: Antman EM. Cargill V. Grossman W.
Institution: Department of Neurology, Hospital of the University of Pennsylvania, Philadelphia 19104-4283, USA. normandy:mail.med.upenn.edu
Title: Low-pressure cardiac tamponade.
Source: Annals of Internal Medicine. 91(3)403-6, 1979 Sep.
Abstract: 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.
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