case_images: PMC4361914_01
case_images: Baseline EKG shows a normal sinus rhythm.
case_images: cro-0008-0088-g01.jpg
case_images: PMC4361914_01_cro-0008-0088-g01.jpg
case_images: F1
case_images: His EKG was notable for a new finding of low voltage with electrical alternans (fig. 1, fig. 2).
case_images: Parasternal long-axis view of pericardial effusion on echocardiogram.
case_images: cro-0008-0088-g03.jpg
case_images: PMC4361914_01_cro-0008-0088-g03.jpg
case_images: F3
case_images: A transthoracic echocardiogram showed a 2.2-cm pericardial effusion during systole with a 2.7-cm effusion during diastole with an early diastolic tamponade physiology (fig. 3).
case_images: Following pericardiocentesis, EKG shows a normal sinus rhythm.
case_images: cro-0008-0088-g04.jpg
case_images: PMC4361914_01_cro-0008-0088-g04.jpg
case_images: F4
case_images: He underwent pericardiocentesis with the removal of 450 ml of serosanginous fluid and catheter placement with a subsequent normalization of his EKG (fig. 4).