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Figure 1. A 64-year-old man was evaluated for progressively worsening edema of the legs. He had jugular venous distention, an enlarged liver, pitting edema, no history of tuberculosis, and a negative skin test for tuberculosis. An electrocardiogram showed low-voltage and ectopic atrial tachycardia (Panel A). Catheterization of the right side of the heart showed diastolic equalization of the right atrial (RA) pressure, right ventricular (RV) pressure, pulmonary-artery (PA) pressure, and pulmonary-capillary wedge pressure (PCWP), indicated by the red line in Panel B. A chest film showed a thickened pericardium (arrows in Panel C). Computed tomographic scans of the heart . . . [Full Text of this Article] |