PMC9853927_01
Transthoracic Echocardiography, Hospitalization Day 1. Apical four chamber view. Ejection fraction 25%, multiple wall motion abnormalities. Basal and mid anterior wall abnormalities as well as basal and mid septal abnormalities, consistent with typical pattern of stress induced cardiomyopathy.
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Formal transthoracic echocardiogram (TTE) on admission confirmed these findings and demonstrated basal and mid anterior wall abnormalities as well as basal and mid-septal abnormalities, consistent with the typical pattern of stress-induced cardiomyopathy (Fig. 1).
Endomyocardial biopsy. Hematoxylin and eosin stain. No significant inflammation, granulomas or giant cells.
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A right ventricular endomyocardial biopsy (Fig. 2) revealed no significant inflammation, granulomas, giant cells or fibrosis. Additional staining with Congo Red excluded amyloid deposition. Additionally, iron staining did not reveal any significant hemosiderosis.
Transthoracic echocardiography, hospitalisation day 6. Apical four-chamber view. EF 50%, global hypokinesis of the left ventricle with minor regional variations.
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Repeat TTE on hospital day 6 demonstrated a recovery of EF to 50% with global hypokinesis (Fig. 3).