6th March 2024

You are called to see a 56-year-old male on CCU with low blood pressure.

You are called to see a 56-year-old male on CCU with low blood pressure. The nurse tells you he is awaiting an angiogram for an anterior myocardial infarction. On examination, he looks distressed. His neck veins are distended. His chest is clear but you cannot hear his heart sounds properly. Vitals are as follows: HR 100 bpm, BP 70/50mmHg, sPO2 95% on air, T 36.7, RR 20 breaths per min. What is the likely diagnosis? 

Select the SINGLE most appropriate option from the list below. Select ONE option only.