Time	Events
2 months ago	The patient developed worsening dyspnoea on exertion
1 month ago	Patient lost weight (10 kg)
1 week ago	Patient had two episodes of syncope
Admission	Patient presented with worsening dyspnoea on exertion for 2 months. Transthoracic echocardiography showed intracardiac tumour extending from the right atrium to the right ventricle making tricuspid valve (TV) hard to evaluate, mild mitral and aortic regurgitation, mild aortic stenosis, and large pericardial effusion with preserved ejection fraction. A 12 lead electrocardiography showed left axis deviation, low QRS voltage in lead V1–V2, 1st grade atrioventricular (AV) block, and P mitrale. Multi slice computed tomography coronary angiogram showed four-vessel cardiovascular disease, intramural tumour at right AV region affecting the TV, right coronary artery irregularity, multiple mediastinal lymphadenopathy on stations 4L, 5, and 6, and pericardial effusion.
Day 6	Surgical biopsy, debulking, and TV repair was performed
Day 20	Patient was discharged for further oncological treatment, but later decided to choose palliative home care instead
Day 50	Patient passed away