A 65-year-old woman is hospitalized with a large anterior myocardial infarction. After 4 days in the

A 65-year-old woman is hospitalized with a large anterior
myocardial infarction. After 4 days in the hospital, she is doing well and
plans are being made for discharge to a rehabilitation facility to help her
regain her strength and recover her cardiac function. While going to the
bathroom, she passes out suddenly. On examination, her blood pressure is 60/40
mm Hg, her heart rate is 120, and she has distant heart sounds. An emergent
echocardiogram shows rupture of the anterior wall and pericardial tamponade.

Questions

A. What are the three classic signs of pericardial tamponade
(Beck
View complete question »

A 65-year-old woman is hospitalized with a large anterior
myocardial infarction. After 4 days in the hospital, she is doing well and
plans are being made for discharge to a rehabilitation facility to help her
regain her strength and recover her cardiac function. While going to the
bathroom, she passes out suddenly. On examination, her blood pressure is 60/40
mm Hg, her heart rate is 120, and she has distant heart sounds. An emergent
echocardiogram shows rupture of the anterior wall and pericardial tamponade.

Questions

A. What are the three classic signs of pericardial tamponade
(Beck triad)?

B. What is the pathophysiology of pericardial tamponade?

C. What is the mechanism of paradoxica pulse?

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