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ECG on admission demonstrating diffuse T-wave inversions.
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Electrocardiogram (ECG) was notable for diffuse T-wave inversions demonstrating inferior, as well as anterolateral ischemia, and a prolonged QTc of 503 ms (Figure 1).
Apical three chamber echocardiogram demonstrating left ventricular apical ballooning and basal hyperkinesis consistent with takotsubo syndrome.
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Echocardiogram demonstrated moderate left ventricular dysfunction (ejection fraction of 35%-40%) with mid to distal anteroseptal, anterolateral, and apical akinesis (Figure 2).
Angiographical images obtained during cardiac catheterization.
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She underwent percutaneous coronary intervention (PCI) with successful stent placement to the RCA (Figure 3).
ECG post-PCI demonstrating interval improvement of inferior T-wave inversions and sustained T-wave abnormalities in the anterolateral leads.
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ECG obtained following PCI revealed interval improvement of the inferior T-wave inversions, with sustained T-wave abnormalities in the anterolateral leads (Figure 4).
Apical three chamber echocardiogram obtained two weeks following revascularization of the RCA demonstrating no residual left ventricular dysfunction.
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Repeat echocardiogram was obtained which revealed normal left ventricular systolic function (Figure 5).