PMC5337460_01
The electrocardiogram on first admission showed slight ST depression in the V4, V5 and V6 leads.
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An electrocardiogram showed slight ST depression in the V4, V5 and V6 leads (Fig. 1a). Coronary angiography (CAG) showed no significant organic stenosis (Fig. 1b). Left ventriculography (LVG) showed mild hypokinesis of the anterior midwall (Fig. 1c). An echocardiogram showed mild hypokinesis of the anterior wall and a slight increase in pericardial effusion (Fig. 1d).
Coronary angiography revealed a normal coronary artery.
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Based on her clinical course, we suspected myocarditis, and performed an endomyocardial biopsy, which showed remarkable eosinophilic infiltration in the interstitium of the myocardium (Fig. 2).
Left ventriculography showed mild hypokinesis of the anterior wall (arrows). The two images on the left side show right anterior oblique (RAO) 30-degree views. The two images on the right side show left anterior oblique (LAO) 60-degree views.
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After this treatment, her clinical symptoms completely disappeared (Fig. 3).