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(A) ECG at Emergency Department (ED) admission. (B) ECG a few days after hospitalization.
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F1
Concomitantly negative hyperacute T waves in the anterior leads were observed at ECG, suggesting myocardial injury, worsened by the rapid fall in BP (Figure 1B).
Coronary angiography: sequence of different frames.
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F2
Civili in Brescia. A transthoracic echocardiogram confirmed increased thickness of left ventricular (LV) walls [interventricular septum (IVS) 21 mm, posterior wall (PW) 20 mm], "super" normal left ventricular ejection fraction (LVEF) 70%, wall motion abnormalities (basal and middle antero-lateral segments akinesia and posterior basal portion hypokinesia) and suspect of infiltrative pathology. Coronary angiography was performed, showing moderate coronary artery disease, i.e., 40% stenosis of the anterior interventricular artery, 50% stenosis of the third branch of the left marginal artery and coronary sclerosis of the posterolateral branch of the circumflex artery and of the third marginal branch of the right posterolateral artery (Figure 2).
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Optical coherence tomography (OCT) showing hard intra-retinal exudates with papilledema.
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F3
Retinal fluoroangiography and optical coherence tomography (OCT) ruled out ischemic areas, but additionally identified hard intra-retinal exudates with papilledema (Figure 3).
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ECG at follow-up visit 4 months after discharge.
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F4
(A) Echocardiography after 2 months since the admission. (B) Echocardiography after 4 months since the admission.
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F5
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