Document Detail

Can pleural effusions cause tamponade-like effects?
MedLine Citation:
PMID:  10150625     Owner:  NLM     Status:  MEDLINE    
Experimental studies have confirmed the clinical impression that large bilateral pleural effusions are able to raise the pressure in an otherwise hemodynamically insignificant pericardial effusion to a level sufficient to produce right ventricular diastolic collapse (RVDC). The hemodynamic consequences of this syndrome are not as severe as when the intrapericardial pressure is raised to the same level by excess intrapericardial fluid in the absence of pleural effusions. RVDC caused by excess pleural fluid with a minor pericardial effusion is a false positive indication for pericardial fluid drainage. Thoracentesis is more appropriate.
H S Klopfenstein; L S Wann
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Echocardiography (Mount Kisco, N.Y.)     Volume:  11     ISSN:  0742-2822     ISO Abbreviation:  Echocardiography     Publication Date:  1994 Sep 
Date Detail:
Created Date:  1995-09-08     Completed Date:  1995-09-08     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8511187     Medline TA:  Echocardiography     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  489-92     Citation Subset:  T    
Cardiology Section, Bowman Gray School of Medicine, Wake Forest University, Winston-Salem, North Carolina 27157-1045, USA.
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MeSH Terms
Cardiac Tamponade / etiology*
Pleural Effusion / complications*
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