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Case No. 1

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Chief Complaint:

Chest pain, Shortness of Breath

Published: April 19, 2017
Case No. 1
Author: Jason2475
CASE SCENARIO

A 74yo M with a history of end-stage renal disease, on hemodialysis, presents with chest pain and shortness of breath. The patient reports he missed several sessions of dialysis. You obtain EKG which shows electrical alternans and low voltage QRS complexes. The patient is tachycardic, hypotensive, and has jugular venous distention. A bedside echocardiogram shows a pericardial effusion.

QUESTION

Which is true regarding an emergent pericardiocentesis in this case?