Cardiac Tamponade in a Suspected COVID-19 Patient

A 59-year-old male with no significant medical history presented with dyspnea and bilateral opacities on chest X-ray. The patient had a high suspicion for COVID-19 pneumonia based on chest X-ray and laboratory findings. Echocardiogram was performed, and the patient was found to have a large pericardial effusion with tamponade. An emergent pericardiocentesis was performed, with 600 cc of bloody fluid removed.