PMC5019924_01
(a) Electrocardiographic strip showing sinus tachycardia and evidence of electrical alternans. (Note the smaller voltage of the QRS complexes annotated compared to others.) Posterolateral chest X-ray at last discharge (b) and at presentation (c) showing the increased size of cardiac silhouette.
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The ECG showed electrical alternans (Figure 1), and a chest X-ray showed enlarged cardiac silhouette compared to chest X-ray before discharge (Figures 1(b) and 1(c)).
(a) Apical 4-chamber view on transthoracic echocardiogram showing large circumferential pericardial effusion with right atrial and ventricular compression. (b) Parasternal long-axis echocardiographic view of the left ventricle showing straightening of the LV lateral wall in diastole (red arrow).
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