PMC8591098_01
Twelve-lead electrocardiogram showing complete left bundle branch block.
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F1
Her electrocardiogram revealed sinus rhythm with complete left bundle branch block (Figure 1).
Four-chamber echocardiogram showing a dilated left ventricle.
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F2
Transthoracic echocardiogram showed a dilated and severely hypokinetic left ventricle (LV 68 mm) with an ejection fraction (EF) of 33% (Figure 2), while coronary angiography revealed no significant coronary artery disease.
The constantly deficient secretion of cortisol.
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F3
Continuous cortisol monitoring revealed that her plasma cortisol was constantly deficient (Figure 3).
Contrast-enhanced computed tomography revealing atrophic bilateral adrenal glands (red arrows).
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F4
Additionally, her abdominal enhanced computed tomography revealed atrophic bilateral adrenal glands (Figure 4), indicating long-standing and severe adrenal insufficiency.