PMC4361914_01
Baseline EKG shows a normal sinus rhythm.
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F1
His EKG was notable for a new finding of low voltage with electrical alternans (fig. 1, fig. 2).
Parasternal long-axis view of pericardial effusion on echocardiogram.
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F3
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).
Following pericardiocentesis, EKG shows a normal sinus rhythm.
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F4
He underwent pericardiocentesis with the removal of 450 ml of serosanginous fluid and catheter placement with a subsequent normalization of his EKG (fig. 4).