To view this video please enable JavaScript, and consider upgrading to a web browser that supports HTML5 video Video 2 Transthoracic echocardiogram (A4C View) during cardiac arrest due to pulseless electrical activity showing significant pericardial effusion and left ventricular thrombus. View Video 2 at http://movie-usa.glencoesoftware.com/video/10.1530/ERP-17-0007/video-2 Confirmed early myocardial rupture in a patient with pulseless electrical activity (PEA) following late presentation of ST elevation myocardial infarction Baskar Sekar, Joe Martins, and Sanjiv Petkar 2017. 4:I11-I12 DOI: 10.1530/ERP-17-0007 Download Original Video