PMC8366112_01
(a) Electrocardiogram (EKG) from admission showing Q waves in inferior and anterior leads. (b) EKG from clinic follow-up showing diffuse T wave inversions.
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Electrocardiogram (EKG) showed Q waves in the inferior and anterior leads but no ST elevations (Figure 1).
Coronary angiography of our patient showing clear and patent left anterior descending (LAD), left circumflex (LCx), and right coronary (RCA) arteries.
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Left and right heart catheterization to rule out ischemic etiology of her cardiomyopathy was performed and showed lack of obstructive coronary artery disease (Figure 2).
Magnetic resonance imaging of the pelvis showing diffuse bilateral muscle edema without atrophy.
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Electromyography studies were consistent with active myopathy, magnetic resonance imaging of the brain was unremarkable, and magnetic resonance imaging of the pelvis showed diffuse muscular edema bilaterally through proximal thighs (Figure 3).