PMC5101515_01
Admission ECG showing ST-T changes.
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F1
Electrocardiography performed in the emergency department showed symmetrical T-wave negativity in V1-V6 and DI-avL (Fig. 1).
Coronary angiography with normal coronary angiographic findings.
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F2
With ongoing chest pain, the patient underwent coronary angiography, which detected normal coronary anatomy (Fig. 2).
Initial echocardiography showing apical ballooning and apical thrombus in the diastolic and systolic phase.
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F3
Transthoracic echocardiography revealed a dyskinetic left ventricular apex, with an ejection fraction of 35% and a 2.3 x 3.3-cm thrombus (Fig. 3).
After warfarin treatment, echocardiography showing improved left ventricle and resolved thrombus in the diastolic and systolic phase.
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F4
The echocardiographic examination was repeated, which showed that the apical dyskinesia and thrombus in the left ventricle had disappeared, and the ejection fraction was normal (Fig. 4).