What condition is characterized by compression of the heart due to fluid accumulation?

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Pericardial tamponade is characterized by the accumulation of fluid in the pericardial cavity, which leads to compression of the heart. This condition restricts the heart's ability to fill properly during diastole, ultimately impairing cardiac output. It can occur due to various causes, including trauma, malignancy, or infections, leading to an accumulation of blood or other fluids in the space surrounding the heart.

The signs and symptoms of pericardial tamponade are often referred to as Beck’s triad, which includes hypotension, muffled heart sounds, and jugular venous distention. The diagnosis usually involves ultrasound or echocardiography to visualize the fluid around the heart. This condition requires immediate medical intervention, often in the form of pericardiocentesis, to relieve the pressure on the heart.

In contrast, the other conditions listed do not involve fluid accumulation around the heart and therefore do not result in the same pathophysiological consequences. Pneumothorax relates to air accumulation in the pleural space affecting lung function, flail chest involves the instability of a portion of the thoracic wall due to rib fractures, and tracheal obstruction pertains to a blockage in the airway that impairs breathing

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