Elderly Male With Shortness of Breath

An 87-year-old man presented to the emergency department with shortness of breath without chest pain, palpitations, or diaphoresis. He had a history of atrial fibrillation with a previous left atrial thrombus. On examination, he was afebrile, with an irregular pulse rate of 86 beats/min and a blood pressure of 103/66 mm Hg. The jugular venous pressure was elevated and the jugular vein was noteworthy for giant systolic pulsations with prominent v waves (Figure and Video E1 [available online at http://ift.tt/P50aok]).

http://ift.tt/2kJ07k0