Which one of the following is not included in the Beck triad for diagnosis of cardiac tamponade?

Name: Which one of the following is not included in the Beck triad for diagnosis of cardiac tamponade?
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Beck's triad is the collection of three medical signs associated with acute cardiac tamponade these three medical signs are Hypotension, muffled heart sound and distended neck veins. Pulse paradoxical, decrease in systolic blood pressure are also suggestive for diagnosis of cardiac tamponade

Which One of the Following Is Not Included in the Beck