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Cardiac tamponade is a medical emergency condition where a large amount of a fluid (e.g. pericardial effusion) accumulates in the pericardial space in a relatively short time. This may lead to an elevated intrapericardial pressure (>15 mm Hg), which prevents proper filling of heart cavities. Instead of reducing the filling of both ventricles equally, the septum of the heart will bend into either the left or right ventricle. The end result is hemodynamic compromise, low stroke volume and shock. Myocardial rupture is a somewhat uncommon cause of pericardial tamponade. It typically happens in the subacute setting after a heart attack, in which the infarcted muscle of the heart thins out and tears. Myocardial rupture is more likely to happen in elderly individuals without any previous cardiac history who suffer from their first heart attack and are not revascularized either with thrombolytic therapy or with percutaneous coronary intervention or with coronary artery bypass graft surgery. Cardiac tamponade is caused by a large or uncontrolled pericardial effusion, i.e. the buildup of fluid inside the pericardium. This commonly occurs as a result of chest trauma (both blunt and penetrating), but can also be caused by myocardial rupture, cancer, uraemia, pericarditis, or cardiac surgery, and rarely occurs during retrograde aortic dissection, or whilst the patient is taking anticoagulant therapy.
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Societies
• The World Heart Federation
• The Caribbean Cardiac Society
• The ESC (European Society for Cardiology)
Companies
• AtriCure, Inc. (AtriCure) is a medical device company which carries out the development, manufacture and sales of innovative cardiac surgical ablation devices.
• Abbott Vascular Inc. company offers cardiac and vascular care devices.
• Atrium Medical Corporation undertakes designing, manufacturing, marketing and selling of devices for interventional cardiology, biosurgery, thoracic drainage, interventional procedures and vascular surgery.
• Bayer HealthCare Pharmaceuticals is the pharmaceutical division of Bayer HealthCare AG. The company markets its products in more than 100 countries, and in 2013 generated sales of €11,188 million.
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This page was last updated on November 22, 2024
