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Swinging Heart
A 46 year old male diagnosed with Kahler's disease, complains of fast progressive dyspnea. Physical examination reveals tachcardia (140 beats per minute). Upon measuring his blood pressure the nurse notices a pulsus paradoxus of 30 mm Mercury. Further examination shows decreased lung sounds on the right and dampened percussion on his back on both sides.
The apical 4 chamber echocardiogram shows severe pericardial effusion and a swinging heart.
Source : Echopedia
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