Page 239 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)

A. Pericardial Tamponade and Constriction
Injury, infarction, Inflammation, tumor, radiotherapy,
after cardiac surgery renal failure, etc.

Effusion, Adhesion,
bleeding calcifications
Rupture
Pericardial
pressure Exudate
Diastolic
Hydraulic (and systolic)
pressure mobility
distribution
Pericardial Constrictive Pericardial Diseases
tamponade pericarditis
1 Right ventricular pressure 2
in constrictive pericarditis Diastolic ventricular R’ Compliance
Pressure (mmHg) 20 0 (after Spodick) Pressure curve Plate 7.28
Plateau
40
pressure
Constrictive
pericarditis
ECG ‘Dip’ Diastolic Systemic Normal R
filling
1 2 3
Time (s) Volume

Stroke volume Distension
Decompensation of neck veins
(esp. acute tamponade)
CO
Compensation

Tachycardia
Compression of
coronary a.
Vaso-
constriction Venouspressure
3 Coronary blood flow
Arterial
pressure
Pressure Myocardial ischemia Ascites, edema

Venous Shock 4 Early 5 Late
pressure (after Goldman)
Time 229
‘Concave’ ST elevation T inversion

Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
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