cardiac tamponade

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cardiac tamponade

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dr.wad
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01/11/07 - 11:49 AM

which of the following is the most sensitive finding in patients with cardiac tamponade ?

A) Disappearance of radial pulse during inspiration.

B) Drop in systolic blood pressure of greater than 10 mmHg during inspiration

C) Rise in heart rate greater than 20/min during inspiration.

D) Distant heart sound.

Guptashutosh
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01/11/07 - 12:10 PM

Guptashutosh
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01/11/07 - 12:11 PM

that is called puses paradoxas

Aashi
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01/11/07 - 12:21 PM

Pulsus paradoxus, is characterized by a drop in systolic blood pressure of greater than 10 mm Hg during inspiration..........

GL

Edited by Aashi on 01/11/07 - 03:51 PM

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malkut
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01/11/07 - 03:17 PM

choice c is correct- pulsus paradoxus

sarika
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01/11/07 - 05:44 PM

but pulsus paradoxus is B) Drop in systolic blood pressure of greater than 10 mmHg during inspiration

dr.wad
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01/12/07 - 07:24 AM

the correct choice is (B) which is pulsus paradoxus ( drop of systolic blood pressure greater than 10 mmHg during inspiration.
although it is not spesific for cardiac tamponade , it is the most sensitive finding .
pulsus paradoxus occurs also in some patients with:
constrictive pericarditis ( in about one third of the patients) , restrictive cardiomyopathy,
hypovolemic shock, severe COPD and in bronchial asthma.

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