Zamorano J, Vilacosta I, Almería C, Alonso L, Batlle E, Conde A, Castillo J A, Peral V, Sánchez-Harguindey L
Servicio de Cardiología, Hospital Clínico San Carlos, Madrid.
Rev Esp Cardiol. 1995 Jun;48(6):443-5.
A patient with cardiac tamponade but without hypotension and pulsus paradoxus is reported. In this patient, echocardiography confirmed the diagnosis of cardiac tamponade, showing diastolic collapse of the right ventricle and also the presence of an atrial septal defect (ostium secundum) that explains the absence of pulsus paradoxus. The role of echocardiography in those rare clinical situations that in the presence of cardiac tamponade showed no pulsus paradoxus are discussed.
报告了一名患有心脏压塞但无低血压和奇脉的患者。在该患者中，超声心动图证实了心脏压塞的诊断，显示右心室舒张期塌陷，并且存在房间隔缺损（继发孔型），这解释了奇脉的缺失。本文讨论了超声心动图在那些罕见临床情况下（即存在心脏压塞但无奇脉）的作用。
