PMC9262081_01
Initial electrocardiogram with ST elevation in inferior (with biphasic T wave) and V3 to V6 leads and also, ST segment sublevel in aVR lead
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Initial electrocardiogram (ECG) was obtained and showed ST-segment elevation in inferior and lateral leads with biphasic T wave in inferior leads and ST segment sublevel in aVR lead (Figure 1).
Coronary angiogram showing normal right (a) and left (b) coronary arteries
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Based on coronary angiogram (Figure 2), the patient had no coronary obstruction, myocardial bridge or spasm.
Follow-up echocardiogram showing a small clot in cardiac apex.
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Three days later, follow-up echocardiography revealed smoky pattern in LV and a small, 13*10 mm clot in apex (Figure 3) in the absence of local akinesia.
The electrocardiogram during the follow-up showing the evolution of the changes in the same territories.
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During the follow-up, the electrocardiogram changed (Figure 4) with modification in the same territories, in addition being suggested the damage of the pericardium.