Electrocardiographic findings in a young man with tachycardia and hypotension - Discussion

摘要

Physical examination revealed a jugular venous pressure of 15 cm H_2O, bilateral pulmonary rales, an infero-laterally displaced point of maximal impulse, and an S3 gallop, all of which were new findings compared with those of previous examinations. A chest x-ray film revealed bibasilar pulmonary infiltrates, consistent with pulmonary edema, and an enlarged cardiac silhouette. An electrocardiogram (ECG) was obtained (Figure 1).