Cardiac tamponade electrocardiogram

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Electrocardiogram

EKG findings of cardiac tamponade are:

  • Sinus tachycardia
  • Electrical alternans (beat-to-beat alterations in the QRS complex due to swinging of heart in pericardial fluid)
  • Low voltage QRS complexes (Low QRS voltage is defined as maximum QRS amplitude in precordial lead < 1 mV and <0.5 mV in the limb leads due to insulating properties of fluid) [1].
  • ST segment [2].
  • EKG findings of pericarditis, and pericardial effusion may be seen if these conditions are accompanying tamponade.

References

  1. Longmore, M., Wilkinson, I.B., Rajagopalan, S. (2004) (6th Ed.). Oxford Handbook of Clinical Medicine. Oxford: Oxford University Press ISBN 9780198568377
  2. Dolan, B., Holt, L. (2000). Accident & Emergency: Theory into practice. London: Bailliere Tindall ISBN 978-0702022395

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