PMC3364043_01
Chest radiograph with cardiomegaly and pulmonary congestion. ECG with sinus tachycardia, advanced LBBB and ST-segment elevation on the anterior wall of the myocardium (July 13, 2010).
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F1
An electrocardiogram (ECG) was performed, showing an advanced left bundle branch block (LBBB) that was nonexistent in a previous examination (fig. 1).
Chest radiograph showing cardiomegaly without pulmonary congestion. ECG with sinus rhythm, HR of approximately 100 bpm and a lesion on the anterior wall (July 16, 2010).
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F2
The clinical and laboratory abnormalities observed were attributed to trastuzumab-related cardiotoxicity (fig. 2).
Temporal correlation of LVEF.
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F3
At the 30-day follow-up, the patient underwent a new echo, showing 25% LVEF associated with significant improvement of dyspnea symptoms (fig. 3).