Pericardial effusion

A massive Pericardial effusion classically causes the triad of a short QRS complex, tachycardia and electrical alternans.

See also: Pulmonary and Pericardial

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References

  • Making Sense of the ECG: A Hands-on Guide, Third Edition

ECG Library (7)

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In the ECGquest archives, this ECG has been tagged with: - 12-Lead Serial 12-lead Long QT Short QRS Regular Sinus tachycardia Tachycardia Pericardial effusion Dr Smith's ECG Blog CC BY-NC
A Middle-Aged Man with Chest pain, Hypotension and Tachycardia: Next day, after ibutilide

This ECG is from a middle-aged man who presented with chest pain, tachycardia 130 bpm and BP 50/30. He was alert but cool and clammy. His background was unclear, but he mentioned chronic dyspnoea, 'cancer' and 'chest'. Fluids were started. This ECG was recorded the next day, after the arrhythmia recurred and was treated with ibutilide.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Hypotension 12-Lead Absent P waves Short QRS Tachycardia Pericardial effusion Dr Smith's ECG Blog CC BY-NC
A Middle-Aged Man with Chest pain, Hypotension and Tachycardia

This ECG is from a middle-aged man who presented with chest pain, tachycardia 130 bpm and BP 50/30. He was alert but cool and clammy. His background was unclear, but he mentioned chronic dyspnoea, 'cancer' and 'chest'. Fluids were started. This was his initial ECG.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Hypotension 12-Lead Absent P waves Short QRS Atrial flutter Regular Tachycardia Pericardial effusion Dr Smith's ECG Blog CC BY-NC
A Middle-Aged Man with Chest pain, Hypotension and Tachycardia: ED ECG 1

This ECG is from a middle-aged man who presented with chest pain, tachycardia 130 bpm and BP 50/30. He was alert but cool and clammy. His background was unclear, but he mentioned chronic dyspnoea, 'cancer' and 'chest'. Fluids were started. This was his second ECG, on arrival at hospital.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead Serial 12-lead Short QRS Regular Sinus tachycardia Tachycardia Pericardial effusion Dr Smith's ECG Blog CC BY-NC
A Middle-Aged Man with Chest pain, Hypotension and Tachycardia: After cardioversion

This ECG is from a middle-aged man who presented with chest pain, tachycardia 130 bpm and BP 50/30. He was alert but cool and clammy. His background was unclear, but he mentioned chronic dyspnoea, 'cancer' and 'chest'. Fluids were started. This was his second ECG, on arrival at hospital.