Journal of Punjab Academy of Forensic Medicine & Toxicology
SCOPUS
  • Year: 2019
  • Volume: 19
  • Issue: 2

Cardiac tamponade: A rare cause of mortality

  • Author:
  • Ananya Malhotra1, Vinod C Nayak2,1, Vijay Dhankar3, Shankar M Bakkannavar4, Vikram Palimar5
  • Total Page Count: 3
  • Published Online: Mar 20, 2019
  • Page Number: 178 to 180

1Kasturba Medical College, Manipal, Karnataka

2Forensic Medicine and Toxicology, Kasturba Medical College, Manipal, Karnataka

3Forensic Medicine, Dr. Baba Saheb Ambedkar Hospital and Medical College, New Delhi

4Forensic Medicine and Toxicology, Kasturba Medical College, Manipal, Karnataka

5Forensic Medicine and Toxicology, Kasturba Medical College, Manipal, Karnataka

*Corresponding Author: Dr. Vinod C Nayak, Professor and Head, Forensic Medicine and Toxicology, Kasturba Medical College, Manipal, Karnataka Contact: +91 98452–40393 E-mail: raid.al-asady@qu.edu.iq

Abstract

This report describes two cases of death due to cardiac tamponade secondary to Aortic Dissection and Blunt traumatic cardiac rupture of right ventricle. Cardiac tamponade is the accumulation of pericardial fluid, blood, pus, or air within the pericardial space that creates an increase in intra-pericardial pressure, restricting cardiac filling and decreasing cardiac output. Cardiac tamponade is a cardiac emergency and can be fatal if it is not quickly diagnosed and treated promptly.

Initial diagnosis of cardiac tamponade can be challenging, as there are several differential diagnoses, including tension pneumothorax and acute heart failure. The mortality rate is extremely high. Rapid prehospital transportation, general treatment of shock, a higher index of suspicion and prompt surgical intervention can save a life. Proper protocols in hospitals can be made to diagnose this emergency.

Keywords

Cardiac Tamponade, Aortic Dissection, Blunt traumatic cardiac rupture, Cardiac emergency