Which of the following is used to treat hypotension in tamponade related to hypoperfusion?

• A. Diuretics
• B. Antibiotics
• C. Vasoactive drips
• D. Calcium channel blockers

Answer: (C)

In tamponade with hypoperfusion, the immediate goal is to restore and support cardiac output and tissue perfusion while addressing the underlying compression. Vasoactive drips are used to raise blood pressure and improve perfusion by increasing vascular tone and/or cardiac contractility. This helps maintain organ perfusion in the critical period after diagnosis and before definitive relief of the tamponade, which is achieved with pericardial drainage.

Diuretics would reduce preload and likely worsen hypotension in tamponade. Antibiotics don’t address the hemodynamics of tamponade. Calcium channel blockers would lower blood pressure and can depress heart function, making the situation worse.