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CARDIAC TAMPONADE 🖤

This is a post-mortem gross specimen of a patient that developed acute cardiac tamponade probably due to a post-MI free wall rupture.
Cardiac tamponade is an emergency condition wherein fluid accumulates around the heart & impairs its ability to pump blood!
In this video, as the pericardium is dissected open, you can see large amount of clotted blood surrounding the heart! Yes, that ‘jelly’ looking substance is clotted blood!! Blood that sits still for an amount of time will end up clotting together, so when we die, our blood clots within our vasculature!! This process helps forensics determine the time of death of a body & is part of the reason why a corpse will display dark purple discoloration of the body (referred to as Lividity, Livor Mortis or Post Mortem Hypostasis).
This tamponade was likely due to a ruptured posterior left ventricular wall which you can see when they flip the heart over. The discolored posterior wall of the heart is infarcted which led to the muscle to become weak & friable, & eventually a defect popped open. This rapidly poured blood from the LV into the pericardial space causing tamponade, hypotension, PEA arrest which led to death.
For our medical nerds, don’t forget the classic clinical signs of cardiac tamponade is grouped together & called ‘Beck’s Triad,’ which includes low arterial blood pressure, distended neck veins, & distant, muffled heart sounds.
In the case of a rupture most of the time death occurs within minutes. Survival is very poor unless it’s a contained rupture and one can make it to the OR.
With this in mind, lets take a second to appreciate our beating hearts this very moment!! Happy Monday FAM!
#MEDspiration

Written by: @yourheartdoc & @medspired (We’re dropping our Podcast 🎙 THIS WEEK folks!!!! Stay tuned)

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