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Dr. Josh Zimmerman, MD, FASE
Anesthesia & Analgesia. 124(3):753-760, March 2017
Subcostal four chamber in a patient with pericardial effusion and tamponade. The effusion is seen as a large echolucent space around the heart. The right atrium appears collapsed in ventricular systole and the right ventricle appears compressed in ventricular diastole. These findings are both consistent with tamponade physiology.