1 MCQs in Medicine for NEET PG
A 56-year-old woman with metastatic breast cancer presents with progressive dyspnea, hypotension (86/64 mm Hg), muffled heart sounds, and markedly elevated JVP. Bedside echocardiography confirms a large circumferential pericardial effusion with right atrial systolic collapse. The 12-lead ECG shows the findings marked **A** in the diagram. Which of the following is the most appropriate immediate management?
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