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This ECG clue could point to fluid around the heart Electrical alternans is not a rhythm in itself. It is an ECG clue where the complexes change size beat to beat, and the classic association is a large pericardial effusion. A small pattern with a potentially big cause. Learn. Adapt. Respond. #ElectricalAlternans #PericardialEffusion #CardiacTamponade #ECGInterpretation #ParamedicEducation
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