Document Detail

Absence of pulsus paradoxus in a patient with cardiac tamponade and coexisting pulmonary artery obstruction.
MedLine Citation:
PMID:  2960237     Owner:  NLM     Status:  MEDLINE    
Pulsus paradoxus is a key physical finding in patients with cardiac tamponade. This report describes a 38-year-old woman with metastatic adenocarcinoma who had cardiac tamponade confirmed by cardiac catheterization. Pulsus paradoxus was notably absent. No evidence could be found for an atrial septal defect, significant aortic regurgitation, elevated left ventricular diastolic pressure, or localized tamponade, previously described disorders in which pulsus paradoxus may not be seen when tamponade occurs. The lack of pulsus paradoxus in this case was attributed to right ventricular pressure overload due to mechanical obstruction of the pulmonary artery.
M J Cunningham; R D Safian; P C Come; B H Lorell
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American journal of medicine     Volume:  83     ISSN:  0002-9343     ISO Abbreviation:  Am. J. Med.     Publication Date:  1987 Nov 
Date Detail:
Created Date:  1987-12-15     Completed Date:  1987-12-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0267200     Medline TA:  Am J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  973-6     Citation Subset:  AIM; IM    
Charles A. Dana Research Institute, Boston, Massachusetts.
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MeSH Terms
Adenocarcinoma / complications,  secondary*
Cardiac Tamponade / diagnosis*,  etiology
Constriction, Pathologic / complications
Lung Neoplasms / complications,  secondary*
Pulmonary Artery*

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