On echo you see RA+/- RV collapse during diastle.
The classic triad is Becks:
- falling BP
- rising JVP
- muffled heart sounds
Other possible signs include:
- Kussmauls = rising JVP on inspiration
- pulsus paradoxus
- JVP - loss of y descent, x descent prominant
ECG may show electrical alternanas
Treatment is ugern pericardiocentesis