A 64-y/o woman is referred to ED immediately after office echocardiogram. Complains of ~5 weeks occasional shortness of breath, intermittent mild pain radiating from L shoulder to chest. ECG 3 wks ago, normal. HR: 99 bpm, RR: 23, BP: 139/66, SpOâ: 90% RA.

What is the most likely diagnosis?

A. Pericardial effusion (viral, bacterial, malignancy)

B. Empyema

C. Congestive heart failure

D. Myocardial infarction

E. Cardiomegaly

F. Pericarditis

G. Pneumonia

H. Pulmonary embolus

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Dyspnea and Intermittent Chest Pain in a 64-year-old Woman

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