case_images: PMC9946817_01
case_images: Electrocardiogram. The image shows atrial fibrillation (blue arrows), and abnormal T waves (black arrows).
case_images: cureus-0015-00000034112-i01.jpg
case_images: PMC9946817_01_cureus-0015-00000034112-i01.jpg
case_images: FIG1
case_images: Electrocardiogram (ECG) showed atrial fibrillation with a ventricular rate of 73 bpm, QRS duration 117 milliseconds (ms), corrected QT (QTc) 430 ms, low voltage complexes, marked right axis deviation, right bundle branch block (RBBB), and T wave abnormalities in anteroseptal and inferior leads (Figure 1).
case_images: Echocardiogram (image 1). The blue arrow shows pericardial effusion.
case_images: cureus-0015-00000034112-i02.jpg
case_images: PMC9946817_01_cureus-0015-00000034112-i02.jpg
case_images: FIG2
case_images: A subsequent echocardiogram showed a circumferential moderate to large-sized pericardial effusion (2.2 cm (Figure 2), severe bi-atrial enlargement, severely dilated (Figure 3) and dysfunctional RV with an end-diastolic diameter of 5.3 cm, severe central tricuspid regurgitation (TR) (Figure 4) with normal appearing leaflets and severe eccentric posteriorly directed MR.
case_images: Echocardiogram (image 2). The blue arrow shows dilated right ventricle (RV).
case_images: cureus-0015-00000034112-i03.jpg
case_images: PMC9946817_01_cureus-0015-00000034112-i03.jpg
case_images: FIG3
case_images: A subsequent echocardiogram showed a circumferential moderate to large-sized pericardial effusion (2.2 cm (Figure 2), severe bi-atrial enlargement, severely dilated (Figure 3) and dysfunctional RV with an end-diastolic diameter of 5.3 cm, severe central tricuspid regurgitation (TR) (Figure 4) with normal appearing leaflets and severe eccentric posteriorly directed MR.
case_images: Echocardiogram (image 3). The image is showing tricuspid regurgitation (TR) (red arrow).
case_images: cureus-0015-00000034112-i04.jpg
case_images: PMC9946817_01_cureus-0015-00000034112-i04.jpg
case_images: FIG4
case_images: A subsequent echocardiogram showed a circumferential moderate to large-sized pericardial effusion (2.2 cm (Figure 2), severe bi-atrial enlargement, severely dilated (Figure 3) and dysfunctional RV with an end-diastolic diameter of 5.3 cm, severe central tricuspid regurgitation (TR) (Figure 4) with normal appearing leaflets and severe eccentric posteriorly directed MR.