A 69-year-old patient came to the Emergency Department with dyspnea on exertion. ECG showed QRS alternans and echocardiography showed pericardial effusion. The diagnosis 'pericarditis carcinomatosis' was made after pericardial fenestration. QRS alternans is caused by the swinging motion of the heart, due to the excess of pericardial fluid.
|Translated title of the contribution||A dyspnoeic male with abnormal QRS complexes|
|Journal||Nederlands Tijdschrift voor Geneeskunde|
|Publication status||Published - 2014|