Dr. Somesh Sharma (General Practice) needs a second opinion on this medical case.
A 76 year old male presents with the complaint of continuous chest pain for 6 hours. The pain was mild initially which increased to 8/10 after 5 hours.
He has h/o myocardial infarction.
VItals shows BP: 100/60 mmhg, Breaths: 23 breaths/min, HR: 120 bpm with dyspnea.
ECG was done which shows elevation of ST-segment in leads I and aVL and depression of ST-segment in lead II, III, and aVF.
Echocardiography shows significant pericardial effusion & ventricular hypertrophy.
What is your opinion on the management?