Question

A 50-year-old man presents with chest pain and shortness of breath. Physical exam reveals jugular venous distension, muffled heart sounds, and hypotension (BP 82/54 mm Hg). ECG shows low voltage QRS complexes and electrical alternans. What is the most appropriate next step in management?

Accepted Answer

Immediate pericardiocentesis

Answer

High-dose IV diuretics

Answer

IV thrombolysis

Answer

Urgent cardiac MRI

Answer

Observation with repeat echocardiogram in 24 hours

Practice question

A 50-year-old man presents with chest pain and shortness of breath. Physical exam reveals jugular venous distension, muffled heart sounds, and hypotension (BP 82/54 mm Hg). ECG shows low voltage QRS complexes and electrical alternans. What is the most appropriate next step in management?