PMC6186336_01
Transthoracic echocardiogram of the patient in parasternal long axis view (a) demonstrating an enlarged left ventricular cavity, in apical (four-chamber) view demonstrating a mildly abnormal end systolic (b) and normal end diastolic (c) left ventricular dimension (RV: right ventricle; LV: left ventricle; LA: left atrium; RA: right atrium).
CRIC2018-3953579.001.jpg
PMC6186336_01_CRIC2018-3953579.001.jpg
fig1
Echocardiogram showed severe left ventricular systolic dysfunction (EF 28%), mildly abnormal end systolic dimension (Figure 1), and a mild reduction in right ventricular systolic function.
Peak systolic strain pattern in cross-sectional view (a) and longitudinal view (b) demonstrates decrease in left ventricular strain pattern.
CRIC2018-3953579.002.jpg
PMC6186336_01_CRIC2018-3953579.002.jpg
fig2
Global averaged left ventricular longitudinal peak systolic strain was abnormal at -12% (normal more negative than -18%) (Figure 2).