PMC3199072_01
EKG: sinus rhythm and normal axis, significant for deep anterolateral T wave inversions.
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fig1
Diastolic and systolic frames from left ventriculography illustrating akinesis of mid and apical segments.
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fig2
Troponin I 5.3 ng/mL (normal < 0.01), and with a peak CKMB of 8.5 ng/mL (which is upper limit of normal (0-6.6)). The patient was started on nitro, beta-blocker, and heparin treatment. The coronary angiography performed was insignificant for any anatomical lesion, and ventriculography was significant for severe hypokinesis of anterolateral, apical, and apical septal regions, with an ejection fraction of 49% (Figures 2(a) and 2(b)).
Diastolic and systolic frames from left ventriculography of a patient with akinesis of midsegment and normal apical contraction (recurrent stress-induced cardiomyopathy after a gap of 5 years).
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fig3
Coronary angiography was insignificant for any lesion, and ventriculography was significant for akinesis of the Ant-lat region with LVEF of 29% (Figures 3(a) and 3(b)).