Medical images. Flip-flop heart.

A 21-year-old man presented with abdominal swelling, lower extremity edema, and progressive dyspnea of 1 month’s duration. Physical examination was notable for mild respiratory distress, marked jugular venous distention, muffled heart sounds, a pulsus paradoxus of 30 mm Hg, and disappearance of the radial pulse with inspiration. A 12-lead electrocardiogram… (More)