An excess of fluid in the cavity ( such as in a pericardial effusion ) can result in cardiac tamponade ( compression of the heart within the pericardial sac ).
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Passing the line " through " the junction and into the atrium is to be avoided, as the result may be cardiac arrythmias and even cardiac tamponade, a potentially fatal outcome.
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The hallmark of cardiac tamponade is fluid accumulation that puts pressure on the heart, causing collapse of the right, or venous, side of the heart during diastole, the filling phase of a heartbeat.
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An autopsy conducted by the county medical examiner, Dr . Hydow Park, determined the cause of death to be cardiac tamponade, a condition resulting from the accumulation of excess fluid in the pericardium around the heart.
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With cardiac tamponade, jugular veins are distended and typically show a prominent x descent and an absent y descent as opposed to patients with constrictive pericarditis ( prominent x and y descent ), see Beck's triad.
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Rupture is usually a catastrophic event that may result a life-threatening process known as cardiac tamponade, in which blood accumulates within the pericardium or heart sac, and compresses the heart to the point where it cannot pump effectively.
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RBC is a composite term describing one or more single or combined complications ( acute, sub-acute and chronic ) such as cardiac tamponade, hemothorax, bloody pleural and pericardial effusions, and fibrothorax which occur in 15-25 % of cardiac surgery patients.
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Signs of classical cardiac tamponade include three signs, known as Low blood pressure occurs because of decreased stroke volume, jugular-venous distension due to impaired venous return to the heart, and muffled heart sounds due to fluid buildup inside the pericardium.
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The purpose of the window is to allow a pericardial effusion ( usually malignant ) to drain from the space surrounding the heart into the chest cavity where the fluid is not as dangerous; an untreated pericardial effusion can lead to cardiac tamponade and death.
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In such cases of cardiac tamponade, EKG or Holter monitor will then depict electrical alternans indicating wobbling of the heart in the fluid filled pericardium, and the capillary refill might decrease, as well as severe vascular collapse and altered mental status due to hypoperfusion of body organs by a heart that can not pump out blood effectively.
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