Which of the following clinical findings is NOT part of Beck's triad associated with acute cardiac tamponade?
Muffled (distant) heart sounds
Jugular venous distension
Widened pulse pressure
Hypotension (low systolic blood pressure)
Beck's triad includes hypotension (often with a narrowed pulse pressure), jugular-venous distension, and muffled or distant heart sounds. A widened (increased) pulse pressure is not part of the triad and, in fact, tamponade more commonly produces a narrow pulse pressure.
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