A case of systemic hypotension with volume depletion not responding to
intravenous fluids was found to have features of cardiac tamponade on
two-dimensional (2-D) echocardiography. Intracardiac pressures were n
ormal on cardiac catheterization. An interesting observation was the p
resence of left ventricular (LV) collapse on 2-D echocardiography. To
the authors' best knowledge, such a case of low-pressure cardiac tampo
nade with LV collapse has not been reported earlier.