Pericardial Disease - RV Diastolic Collapse in Cardiac Tamponade
Caption
A patient with a history coronary artery disease presented to our emergency department complaining of acute weakness. He was febrile, tachycardic and hypotensive. POCUS was performed and demonstrated a circumferential anechoic rim in multiple views, consistent with a pericardial effusion (subcostal four-chamber view is shown above). Right ventricular (RV) diastolic collapse was visualized and consistent with the diagnosis of pericardial tamponade. Loss of central pulses prompted resuscitative efforts and an emergent pericardiocentesis, which resulted in return of spontaneous circulation. Andrew Namespetra, MB BCh BAO. @AndrewNamespet1 PGY-1 EM Resident at Central Michigan University Samantha Wong, DO. PGY-3 EM Resident at Central Michigan University