Transthoracic echocardiogram. The patient's transthoracic echocardiogram in diastole showing neurogenic stunned myocardium. Apical four-chamber view showing left ventricle, left atrium, and mitral valve during diastole. Note the uniformity of the endomyocardium resulting in a “bullet shape” of the left ventricle in which all three segments of the ventricle: base, mid, and apex relax equally.