PMC9946817_01
Electrocardiogram. The image shows atrial fibrillation (blue arrows), and abnormal T waves (black arrows).
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PMC9946817_01_cureus-0015-00000034112-i01.jpg
FIG1
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).
Echocardiogram (image 1). The blue arrow shows pericardial effusion.
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PMC9946817_01_cureus-0015-00000034112-i02.jpg
FIG2
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.
Echocardiogram (image 2). The blue arrow shows dilated right ventricle (RV).
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FIG3
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.
Echocardiogram (image 3). The image is showing tricuspid regurgitation (TR) (red arrow).
cureus-0015-00000034112-i04.jpg
PMC9946817_01_cureus-0015-00000034112-i04.jpg
FIG4
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.