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Figure 1. Cardiac Tamponade. The true filling pressure is the myocardial transmural pressure, which is intracardiac minus pericardial pressure. 14 Rising pericardial pressure reduces.
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Left ventricular tamponade in patients with severe PAH and non-loculated circumferential effusion can be drained from the subxiphoid route, while LV tamponade due to loculated effusion overlying LV must be drained by echocardiographic and fluoroscopic guidance from the axilla.
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