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Electrical alternan with pericardial temponade

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By Dr Faisal Aijaz Emergency medicine Registrar.
Waqas Jehangir, Mohamed Osman
A 56-year-old woman with a 6-year history of stage II cancer of the left breast presented with progressive shortness of breath and fatigue. Physical examination revealed hypotension, tachycardia, jugular venous distention, pulsus paradoxus, and distant heart sounds; the blood pressure was 63/44 mm..
August 20, 2015: New England Journal of Medicine
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