PMC3716220_01
EKG done in the ER showing sinus tachycardia and ST elevations.
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F0001
EKG at the time of admission showed sinus tachycardia with anterior ST elevations in the precordial leads and corrected QT interval of 407 ms (Fig. 1).
EKG done 5 hours later showing reversal of aforementioned abnormalities.
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Follow-up EKG obtained 5 hours after admission showed resolution of anterior ST elevation (Fig. 2).
Chest radiograph showing no underlying infiltrates or cardiomegaly.
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Chest radiograph showed clear lung fields with no infiltrates or cardiomegaly (Fig. 3).
Echocardiogram, pre-diastolic.
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Transthoracic echocardiography showed poor left ventricular systolic function, a marked anterior focal wall motion abnormality in the distribution of the left anterior descending artery, and mild-to-moderate tricuspid regurgitation (Figs. 4-7).
Echo, Pre-systolic.
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F0005
Transthoracic echocardiography showed poor left ventricular systolic function, a marked anterior focal wall motion abnormality in the distribution of the left anterior descending artery, and mild-to-moderate tricuspid regurgitation (Figs. 4-7).
Echocardiogram, post-diastolic.
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F0006
Transthoracic echocardiography showed poor left ventricular systolic function, a marked anterior focal wall motion abnormality in the distribution of the left anterior descending artery, and mild-to-moderate tricuspid regurgitation (Figs. 4-7).
Echocardiogram, post-systolic. Note that there is not much difference between the post-systolic and the pre-systolic images suggesting some stunning of the myocardium.
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F0007
Transthoracic echocardiography showed poor left ventricular systolic function, a marked anterior focal wall motion abnormality in the distribution of the left anterior descending artery, and mild-to-moderate tricuspid regurgitation (Figs. 4-7).
Cardiac catheterization showing apical ballooning in the left ventricle.
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