What is the European Society of Cardiology (ESC) Working Group on Myocardial and Pericardial Diseases scoring system for treatment of cardiac tamponade?

Updated: Nov 28, 2018
  • Author: Chakri Yarlagadda, MD, FACC, FSCAI, FASNC, CCDS; Chief Editor: Terrence X O'Brien, MD, MS, FACC  more...
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Answer

In July 2014, the European Society of Cardiology (ESC) Working Group on Myocardial and Pericardial Diseases released a stepwise scoring system for treating patients with cardiac tamponade. The system is used to identify patients who need immediate pericardiocentesis and patients who can safely be transferred to a specialized institution. [17, 18]

According to the guidelines, patients with suspected cardiac tamponade should undergo echocardiography without delay. After diagnosis, patients are scored according to disease etiology, clinical presentation, and imaging findings. A score of 6 or more requires the patient to undergo immediate pericardial drainage. A lower score indicates that drainage can be postponed for up to 12 to 48 hours.


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