A 60-year-old smoker presents with breathlessness for 2 weeks. On examination: hea rate is 100/min, BP = 90/60 mm Hg and neck veins are distended with a palpable liver. CXR is shown. What is the probable diagnosis?
* Since in the CXR, the cardiac borders look bulging and CT ratio is increased, the finding is that of a water bottle hea/ money bag appearance. In clinical setting of hypotension with distended neck veins, this patient is having a massive pericardial effusion and developing findings of a tamponade. * The point against cor pulmonale is that it is characterized by right ventricular failure with pulmonary aery hypeension. But in this CXR, pulmonary aery segment is not bulging.
Pericardial effusion
Cor pulmonale
Broken hea syndrome
Brugada syndrome
Takotsubo Cardiomyopathy and Brugada Syndrome