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The Journal of Thoracic and Cardiovascular Surgery, Vol 73, 278-286, Copyright © 1977 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Demonstration of a depressor reflex in acute cardiac tamponade

HS Friedman, F Lajam, JA Gomes, Q Zaman, ND Marino and J Calderon

Studies from our laboratory have demonstrated the presence of a vagally mediated reflex in acute cardiac tamponade. To determine the effect of thisreflex on cardiac performance, we continuously recorded hemodynamic parameters during induction of tamponade in 16 closed-chest mongrel dogs anesthetized with alpha chloralose. The studies were done 1 to 7 days following the insertion of a catheter in the pericardial sac. With increasing pericardial volume, there was a progressive deterioration of cardiac performance, the most marked changes occuring in the late phases of cardiac tamponade...


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Copyright © 1977 by The American Association for Thoracic Surgery.