PMC9899325_01
EKG showing sinus rhythm and possible inferior infarct.. ST-segment elevation in the inferior lead (red arrows).
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FIG1
Echocardiographic images of the left ventricle at rest and during stress.. Echocardiographic images of the left ventricle demonstrate adequate thickening and contraction of the myocardium at rest (blue arrow) as compared to exercise-induced global dilatation and apical ballooning of the left ventricle at stress (red arrow).
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FIG2
At the peak of exercise, the LV appeared dilated with global hypokinesis and an EF of about 25% (Figure 2).
Coronary angiogram with left ventriculogram demonstrating nonobstructive coronary artery disease (blue arrows), apical ballooning and Takotsubo-appearing left ventricle (red arrow), respectively.
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FIG3
The left ventriculogram revealed an EF of about 25% with a Takotsubo-appearing LV with apical ballooning and basilar hyperkinesis (Figure 3).