Without urgent pericardial drainage patients will progress to cardiovascular collapse and death.
Several studies have retrospectively examined predictors of survival after tamponade. In-hospital mortality rates have been most closely associated with the causative disease: acute myocardial infarction (70% to 100%), aortic dissection (65%), bleeding/anticoagulation (40%), malignancy (16%), iatrogenic (10%), infectious/inflammatory (8%).[10]Alerhand S, Adrian RJ, Long B, et al. Pericardial tamponade: a comprehensive emergency medicine and echocardiography review. Am J Emerg Med. 2022 Aug;58:159-74.
http://www.ncbi.nlm.nih.gov/pubmed/35696801?tool=bestpractice.com
[20]Soler-Soler J, Sagristà-Sauleda J, Permanyer-Miralda G., et al. Management of pericardial effusion. Heart. 2001 Aug;86(2):235-40.
https://heart.bmj.com/content/86/2/235.long
http://www.ncbi.nlm.nih.gov/pubmed/11454853?tool=bestpractice.com
Malignancy-related cardiac tamponade has a poor prognosis with around 80% mortality at 12 months.[58]Kızıltunç E, Ünlü S, Yakıcı İE, et al. Clinical characteristics and prognosis of cardiac tamponade patients: 5‑year experience at a tertiary center. Herz. 2020 Nov;45(7):676-83.
http://www.ncbi.nlm.nih.gov/pubmed/30470911?tool=bestpractice.com