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Medical Definition of Heart tamponade
1. Interference with the venous return of blood to the heart due to an extensive accumulation of blood in the pericardium (pericardial effusion). Tamponade may occur as a complication of dissecting thoracic aneurysm, pericarditis, renal failure, acute myocardial infarction, hypothyroidism, autoimmune disease (for example lupus), chest trauma or a malignancy. Fluid in the pericardial sac is demonstrated by echocardiogram. Treatment involves the emergent removal of the fluid. This may be accomplished by a needle aspiration technique or emergency surgery (pericardial window). (27 Sep 1997)