Cardiac Tamponade
Medically reviewed by Drugs.com. Last updated on May 6, 2024.
AMBULATORY CARE:
Cardiac tamponade
occurs when too much fluid collects in the pericardium (the sac around your heart). The fluid puts pressure on your heart. This makes it difficult for your heart to pump. Fluid may collect slowly or quickly. Cardiac tamponade can become life-threatening.
Common signs and symptoms of cardiac tamponade:
- Chest pain, or chest discomfort that may improve when you sit up
- Shortness of breath
- Weakness, lightheadedness, or fainting
- Pounding or racing heartbeat
- Bulging veins in your neck, head, or temples
- Nausea or abdominal pain
Call your local emergency number (911 in the US) if:
- You have sudden chest pain.
- You have sudden trouble breathing.
Seek care immediately if:
- Your heart is pounding or racing.
Call your doctor or cardiologist if:
- You have new or worsening swelling in your ankles, legs, or abdomen.
- You have bulging veins in your neck, head, or temples.
- You have questions or concerns about your condition or care.
Treatment
is based on how severe your symptoms are and what is causing the cardiac tamponade. You may need any of the following:
- Pericardial drainage relieves pressure on your heart so it can pump normally. A catheter is inserted into the pericardium to drain fluid.
- IV fluids may be given if your blood pressure is too low.
- Medicines help your heart pump and improve blood flow to your body.
- Surgery may be needed to relieve pressure on your heart. An incision is made into your chest and into the pericardium to drain fluid.
Follow up with your doctor or cardiologist as directed:
You will need to return for more tests to see if the fluid around your heart has come back. Write down your questions so you remember to ask them during your visits.
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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.
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