PMC8634395_01
Electrocardiogram on admission shows sinus rhythm, complete right bundle branch block, pathological Q waves in leads V1-V3, and T wave changes in some leads.
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F1
An electrocardiogram performed on admission showed sinus rhythm, complete right bundle branch block, pathological Q waves in leads V1-V3, and T wave changes in some leads (Figure 1).
Color Doppler echocardiography shows left ventricular apical aneurysm formation and left ventricular systolic and diastolic dysfunction.
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Echocardiography showed left ventricular systolic and diastolic dysfunction (Figure 2).
Coronary angiography shows 40%-50% stenosis in the proximal segment of the left anterior descending artery (LAD), myocardial bridging in the distal segment of the LAD during ventricular systole (A), filling of the distal LAD during ventricular diastole (B), and forward flow of TIMI grade 3.
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TIMI grade 3. There was no obvious stenosis in the left circumflex coronary artery or right coronary artery, and forward flow was TIMI grade 3 (Figures 3A,B).
Left ventricular angiography using a pigtail catheter shows ventricular aneurysm formation.
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Left ventricular angiography, which was performed using a pigtail catheter, showed formation of ventricular aneurysm (Figure 4).
Timeline showing the clinical course in this patient.
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He provided correct answers to asked questions, he had high attentiveness and concentration, and his condition further improved (Figure 5).