Cardiac Tamponade: A Clinical Emergency This imaging illustrates the critical progression from a massive pericardial effusion to life-threatening cardiac tamponade. · Echo Finding: "Swinging Heart" phenomenon. · ECG Correlate: Electrical alternans. · Pathophysiology: These signs result from excessive cardiac mobility within a large effusion, altering the electrical axis. · Definitive Intervention: Emergency ultrasound-guided pericardiocentesis. A clear diagnostic sequence for a time-sensitive em
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