Cardiac Tamponade | Signs, Symptoms & Treatment | MedStar Health

Pressure on the heart caused by fluid building up in the pericardium

The pericardium is a thin membrane that surrounds your heart. When blood or fluid builds up in this membrane, it can put pressure on your heart and prevent it from expanding fully. This makes it more difficult to pump enough blood throughout your body.

Cardiac tamponade requires immediate medical attention to relieve the pressure on your heart and prevent death. Symptoms vary from mild to severe and can include:

  • Chest pain, which can extend to the shoulders, neck, and abdomen (belly)

  • Difficulty breathing

  • Fainting or dizziness

  • Heart palpitations, or the sensation that the heart rate is skipping, slowing down, or racing

  • Pale or blue skin

Causes

What can cause cardiac tamponade?

Possible causes for cardiac tamponade include:

Tests

Cardiac tamponade is often diagnosed using imaging procedures that can be done bedside before treating the condition.

Computerized Tomography (CT) Scan
The cardiac computed tomography scan, or cardiac CT, uses X-rays to create three-dimensional images of your heart and blood vessels.
Electrocardiogram (ECG)

An electrocardiogram, also known as an ECG, measures the heart’s electrical activity.

Magnetic Resonance Imaging (MRI)

Magnetic resonance imaging, better known as cardiac MRI, is a combination of radio waves, magnets, and computer technology to create images of your heart and blood vessels.

Treatments

Cardiac tamponade is treated by removing the fluid putting pressure on the heart. Your doctor may recommend additional treatments to prevent the condition from returning in the future.

Ask MedStar Heart & Vascular Institute

Have general questions for our heart and vascular program? Email us at AskMHVI@medstar.net. If you have clinically-specific questions, please contact your physician’s office.