Mayo Clin proc Jam 2013
http://www.mayoclinicproceedings.org/article/S0025-6196(12)00990-1/fulltext
"Cardiac tamponade: 12 pearls in diagnosis and management"CCJM Feb 2013
http://ccjm.org/content/80/2/109.full
"Key points
Slow accumulation of pericardial fluid can result in edema, whereas rapid accumulation leads to hypotension.
Diuretics can worsen tamponade by removing enough volume from the circulation to lower the central venous pressure below the intrapericardial pressure.
Try to determine why cardiac tamponade has occurred. Cardiac or aortic rupture requires surgery. If the gross appearance of the pericardial fluid does not match the presumed etiology, reconsider your diagnosis. . . . "
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