Acute myocardial infarction and swinging heart: not always a cardiac rupture—haemopericardium due to infiltrative lung cancer

A 56-year-old diabetic patient was admitted with oppressive chest pain, hypotension, and ST-segment elevation on inferior leads ( Panel A ). The transthoracic echocardiogram carried out in the emergency room revealed a severe pericardial effusion with a swinging heart ( Panels B and C …