Causes of Cardiac Tamponade
Bleeding into the pericardial space Penetrating and blunt chest trauma, including external cardiac compression Bleeding from a cardiac chamber or coronary artery caused by perforation or laceration as a complication of cardiac catheterization, percutaneous coronary intervention, pacemaker insertion, pericardiocentesis or central venous cannulation Bleeding after cardiac surgery Cardiac rupture after myocardial infarction Aortic dissection with retrograde extension into pericardial space Anticoagulant therapy for atrial fibrillation or other indication in the presence of pericarditis Thrombolytic therapy given (inappropriately) for pericarditis Serous or sero-sanguinous pericardial effusion Neoplastic involvement of the pericardium (most commonly in carcinoma of breast or bronchus, or lymphoma or cardiac angiosarcoma) Pericarditis complicating connective tissue diseases (e.g. systemic lupus erythematosus, rheumatoid arthritis) Postcardiotomy syndrome Tuberculous and viral pericarditis Uraemic pericarditis Idiopathic pericarditis (tamponade is a rare complication) Purulent pericarditis Pyogenic bacterial infection, usually due to spread of intrathoracic infection, for example following thoracic surgery or trauma, or complicating bacterial pneumonia |