A 40-years-old lady presented to the emergency department with lethargy, fever, productive cough and breathlessness. The past medical history includes SLE and hypertension. Pre-hospital observations are as follows:
PR 132 BP 82/68 RR 32 SaO2 98% on air
The patient became unconscious shortly after arrival and proceeded to cardiorespiratory arrest. CPR was commenced and an echocardiogram was performed during thepulse check. Two views are shown
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Consider the diagnosis.


