PMC9829022_01
Chest x-ray showing cardiomegaly
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PMC9829022_01_3706_Fig1.jpg
f1-3706-1-31770-1-10-20221222
His initial troponin and pro-B-type natriuretic peptide (BNP) were mildly elevated and procalcitonin was negative, urine analysis was unremarkable apart from +1 proteins, and chest x-ray showed cardiomegaly but no pulmonary infiltrates (Fig. 1).
Transthoracic echocardiography showing biventricular systolic dysfunction with a left ventricular ejection fraction of 30% and tricuspid annular plane systolic excursion of 0.8 cm
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PMC9829022_01_3706_Fig2.jpg
f2-3706-1-31770-1-10-20221222
An urgent transthoracic echocardiography (TTE) was performed showing new onset biventricular systolic dysfunction with global hypokinesia with an LVEF of 30% and tricuspid annular plane systolic excursion (TAPSE) of 0.8 cm (Fig. 2).