A 62-year old man with carcinoma lung presented to emergency depament with respiratory distress. ECG showed electrical alternans. Most likely diagnosis is
Electrical alterans-a beat-to-beat alternation in one or more components of the ECG signal-is a common type of nonlinear cardiovascular response to a a variety of hemodynamic and electro physiologic peurbations.Total electrical alterans with sinus tachycardia is a relatively specific sign of pericardial effusion,usually with cardiac tamponade.</p Ref:Harrison's med-18th edition,page no:1838
Pneumothorax
Pleural effusion
Cardiac tamponade
Constrictive pericarditis
Respiratory system