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It is recommended when there is a discrepancy between the symptoms and echocardiographic findings. Pressure gradients across the aortic valve are recorded by using a double-lumen fluid-filled catheter. Left ventricular and aortic pressures are measured simultaneously.
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The treatment of cardiac tamponade is the removal of pericardial fluid to help relieve the pressure surrounding the heart. This can be done by performing a needle pericardiocentesis at the bedside, performed either using traditional landmark technique in a sub-xiphoid window or using a point-of-care echo to guide needle placement in real-time.
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