PMC9685114_01
The patient's electrocardiogram indicating sinus rhythm, a rate of 83 beats
per minute with small voltage complexes, and nonspecific ST-T changes such
as T-wave inversions in leads V5-V6, II, III, and
aVF.
10.1177_23247096221140251-fig1.jpg
PMC9685114_01_10.1177_23247096221140251-fig1.jpg
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T-wave inversions in leads V5-V6, II, III, and (aVF) (Figure 1). The chest radiograph did not indicate any acute cardiopulmonary disease.
The patient's 2-dimensional transthoracic echocardiography on admission and
outpatient follow-up: (A) Parasternal long-axis view:The red stars indicate
the circumferential pericardial effusion on admission. (B) Apical 4-chamber
view:The red star indicates the pericardial effusion on admission. (C)
Parasternal long-axis view:There is complete interval resolution of the
pericardial effusion on the 4-week outpatient follow-up visit. (D) Apical
4-chamber view:There is complete interval resolution of the pericardial
effusion on the 4-week outpatient follow-up visit.
10.1177_23247096221140251-fig2.jpg
PMC9685114_01_10.1177_23247096221140251-fig2.jpg
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A 2-dimensional transthoracic echocardiogram (2D-TTE) revealed a moderate circumferential pericardial effusion ("anterior" dimension of 13 mm, "posterior" dimension of 8 mm) with no impending tamponade physiology and preserved left ventricular function (Figure 2). During his ensuing 1-week hospitalization, he remained hemodynamically stable, and a repeat 2D-TTE indicated a significant interval improvement in the pericardial effusion (Figure 2).