Check out this ECG and patient symptoms. Do you know the diagnosis?

A 65-year-old man presented to the emergency department with complaints of chest pain and dyspnea that developed within that day. The patient expressed that he had been feeling fatigued. He had a history of pulmonary embolism and had been on rivaroxaban for over 2 weeks to prevent recurrence. He denied use of illicit drugs. Physical examination showed neck vein distension, peripheral legal edema, and decreased breath sounds. The electrocardiogram examination showed QRS voltage that was diffusely reduced. What’s the diagnosis?

A)     Cardiac tamponade

B)     Peripheral arterial disease

C)     Pulmonary embolism

D)     Septic shock

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