case_images: PMC11221449_01
case_images: 12-lead electrocardiogram revealing atrial fibrillation with rapid ventricular response (125 beats per minute), and nonspecific ST and T wave abnormalities in the inferior and lateral leads.
case_images: jchim-14-02-067f1.jpg
case_images: PMC11221449_01_jchim-14-02-067f1.jpg
case_images: f1-jchim-14-02-067
case_images: A 12-lead electrocardiogram (EKG) revealed atrial fibrillation with rapid ventricular response (125 beats per minute), and nonspecific ST and T wave abnormalities in the inferior and lateral leads (Fig. 1).
case_images: Transthoracic echocardiogram showing pericardial effusion with tamponade physiology. (A) 4-chamber view revealing large pericardial effusion with inversion of right atrial wall. (B) Parasternal short-axis view highlighting large pericardial effusion. (C,D) Subcostal view demonstrating large pericardial effusion with inversion of right ventricular wall.
case_images: jchim-14-02-067f2.jpg
case_images: PMC11221449_01_jchim-14-02-067f2.jpg
case_images: f2-jchim-14-02-067
case_images: A limited transthoracic echocardiogram (TTE) showed normal left ventricular systolic function with an ejection fraction 60-65 %, grade III left ventricular diastolic dysfunction, and a moderate to large circumferential pericardial effusion with inversion of right atrial and right ventricular walls, consistent with cardiac tamponade (Fig. 2).