Category: Cardiology
Keywords: Dyspnea, Chest Pain (PubMed Search)
Posted: 10/13/2013 by Ali Farzad, MD
(Updated: 3/10/2014)
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A 48 year-old female presents to the ED with progressive dyspnea and chest discomfort over the past 3 months. HR = 105, BP = 100/60 mmHg, with mild JVD on exam. Her ECG is shown below. What ECG abnormalites are present? What does your differential diagnosis include? What is the best initial diagnostic test?
The ECG shows sinus tachycardia at rate of 107 with low QRS voltage diffusely. Echocardiogram revealed significant pericardial effusion with signs of impending tamponade. Emergent pericardiocentesis was performed and her symptoms improved.
Low QRS voltage (LQRSV)
LQRSV Differential
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