A 62-year-old patient presents with sudden severe dyspnea, t…
A 62-year-old patient presents with sudden severe dyspnea, tachycardia, hypotension, and jugular venous distention. Physical exam reveals a pulsus paradoxus, and CTA demonstrates large bilateral pulmonary emboli with acute right ventricular strain. These findings indicate impaired right ventricular filling and forward flow. Which condition is MOST likely responsible for this presentation, and what is the immediate management priority?