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We describe a 67-year-old male who presented with pericardial effusion-associated hyponatremia additional to cardiac resynchronization therapy-D positioning that resolved following evacuation. In addition, we review the literary works on pericardial effusion-associated hyponatremia.This article showcases a new client whom given STEMI secondary to septic emboli as a result of endocarditis with Abiotrophia Defectiva into the environment of a congenital bicuspid aortic valve. W
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