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Cardiac tamponade occurs when fluid [blood] builds up in the pericardial sac (the sac that surrounds the heart.) This fluid compresses the heart. Enough blood cannot be pumped in and out of the heart - this decreases the cardiac output, causing one million problems. This is a life-threatening condition. Signs & Symptoms -BP decreases, because you are hemorrhaging; CVP [pressure inside the heart] increases, because blood is squeezing the heart; heart sounds are distant and muffled