Abstract
Cardiac tamponade is a heart compression by accumulation of fluid, blood, clots, or gas in the pericardial space, and it is a life-threatening condition, generating a hemodynamic unstable state. In pregnancy the incidence is rare, and it is associated with severe preeclampsia when it happens, because of high hypertension, especially in cases of difficult control of the hypertension emergency. Other uncommon causes in pregnancy are aortic dissection, coronary dissection, and myocardial infarction. Mild pericardial effusion during pregnancy is frequent, usually in the third trimester, and it is asymptomatic and an incidental finding. Echocardiography is the best diagnostic method for detection of pericardial effusion and tamponade during pregnancy. The outcomes of pregnancies in women with pericardial disease are similar to those expected in the general population with pericardial disease, so the management is similar in the obstetric population. A multidisciplinary approach involving might be required in difficult cases.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Adler Y, Charron P, Imazio M, et al. 2015 ESC guidelines for the diagnosis and management of pericardial diseases: the Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC) endorsed by: the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J. 2015;36:2921–64.
Risti AD, Imazio M, Adler Y, et al. Triage strategy for urgent management of cardiac tamponade: a position statement of the European Society of Cardiology Working Group on Myocardial and Pericardial Diseases. Eur Heart J. 2014;35:2279.
Swaminathan A, Kandaswamy K, Powari M, Mathew J. Eur Heart J. Dying from cardiac tamponade 35:2279–2284. World J Emerg Surg. 2007;2:22.
Imazio M, Brucato A, Rampello S, et al. Management of pericardial diseases during pregnancy. J Cardiovasc Med (Hagerstown). 2010;11:557–62.
Matsuki R, et al. Cardiac tamponade in pregnancy during the treatment of severe pre-eclampsia: report of a case. J Obstet Gynecol Res. 2014;40(3):826–8.
Haiat R, Halphen C. Silent pericardial effusion in late pregnancy: a new entity. Cardiovasc Intervent Radiol. 1984;7:267–9.
Enein M, Zina A, Kassem M, El-tabbakh G. Echocardiography of the pericardium in pregnancy. Obstet Gynecol. 1987;69:851–3.
Abduljabbar HSO, Marzouki KMH, Zawawi TH, Khan AS. Pericardial effusion in normal pregnant women. Acta Obstet Gynecol Scand. 1991;70:291–4.
Gabbe SG, Niebyl JR, Simpson JL. Obstetrics, normal and problem pregnancies. 1st ed. Edinburgh: Churchill Livingstene; 1986. p. 137–53.
Vitse M, Lesbre JP, Boulanger JG, Kalisa A, Camier B. Notre experience du depistage des epanchements pericardiques latents au troisieme trimester de la grossesse. Rev Fr Gynecol Obstet. 1984;79:765–9.
Yuan L, Duan Y, Cao T. Echocardiographic study of cardiac morphological and functional changes before and after parturition in pregnancy-induced hypertension. Echocardiography. 2006;23:177–82.
Reddy PS, Curtiss EI, Uretsky BF. Spectrum of hemodynamic changes in cardiac tamponade. Am J Cardiol. 1990;66:1487–91.
Sagrista-Sauleda J, Angel J, Sambola A, et al. Low-pressure cardiac tamponade: clinical and hemodynamic profile. Circulation. 2006;114:945–52.
Hamzaoui O, Monnet X, Teboul J-L. Pulsus paradoxus. Eur Respir J. 2013;42:1696–705.
Argulian E, Herzog E, Halpern DG, Messerli FH. Paradoxical hypertension with cardiac tamponade. Am J Cardiol. 2012;110:1066–9.
Gauchat HW, Katz LN. Observations on pulsus paradoxus (with special reference to pericardial effusions): I. Clinical. Arch Intern Med. 1924;33:350–70.
Grumann A, Baretto L, Dugard A, et al. Localized cardiac tamponade after open-heart surgery. Ann Thorac Cardiovasc Surg. 2012;18:524–9.
Gillam LD, Guyer DE, Gibson TC, et al. Hydrodynamic compression of the right atrium: a new echocardiographic sign of cardiac tamponade. Circulation. 1983;68:294–301.
Tsang TSM, Enriquez-Sarano M, Freeman WK, et al. Consecutive 1127 therapeutic echocardiographically guided pericardiocenteses: clinical profile, practice patterns, and outcomes spanning 21 years. Mayo Clin Proc. 2002;77:429–36.
Furst B, Liu C-JJ, Hansen P, Musuku SR. Concurrent pericardial and pleural effusions: a double jeopardy. J Clin Anesth. 2016;33:341–5.
Sagristà -Sauleda J, Angel J, Sambola A, Permanyer-Miralda G. Hemodynamic effects of volume expansion in patients with cardiac tamponade. Circulation. 2008;117:1545–9.
Martins JB, Manuel WJ, Marcus ML, Kerber RE. Comparative effects of catecholamines in cardiac tamponade: experimental and clinical studies. Am J Cardiol. 1980;46:59–66.
Ho AM-H, Graham CA, Ng CSH, et al. Timing of tracheal intubation in traumatic cardiac tamponade: a word of caution. Resuscitation. 2009;80:272–4.
Kudaiberdiev T, et al. Gross pericardial effusion with tamponade in 2 nd trimester of pregnancy. Cent Eur J Med. 2010;5(3):369–71.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Rojas, J.C.B. (2021). Cardiac Tamponade. In: Montufar, C., Hidalgo, J., Gei, A.F. (eds) Obstetric Catastrophes. Springer, Cham. https://doi.org/10.1007/978-3-030-70034-8_36
Download citation
DOI: https://doi.org/10.1007/978-3-030-70034-8_36
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-70033-1
Online ISBN: 978-3-030-70034-8
eBook Packages: MedicineMedicine (R0)