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Not only was the Flood considered the most destructive, it was of the longest duration . Flood stage in Chester was exceeded for 186 days between April and October of 1993 . This StoryMap illustrates the Flood of 1993 across the National Weather Service St. Louis forecast area including the rare and extreme meteorological and hydrological conditions that contributed to the flood and the flood ’s impacts to people, infrastructure, and economy. Cardiac tamponade , also known as pericardial tamponade , is the accumulation of pericardial fluid, blood, pus, or air within the pericardial space (pericardial effusion) that causes an increase in intrapericardial pressure, restricting cardiac filling and decreasing cardiac output. The Great Flood of 1993 inundated more than 20 million acres in nine states. Approximately 54,000 people had to be evacuated from flooded areas at some time during the flood , and approximately 50,000 homes were destroyed or damaged. Losses were estimated at 15 to 20 billion dollars.