Case 3: Severe Dressler syndrome in a patient after anterior STEMI


Left: 4CH cine showing dilated LV with impaired systolic function and acinetic LAD territory. Severe pericardial effusion with RA collapse in diastole. Pleural effusion due to heart failure. Right: Real Time 4CH and SA showing how RA and RV collapse during exhalation when intra-thoracic pressures rise above RA/RV pressures.