PMC9622465_01
ECG on arrival. Antero-lateral concave ST elevation compatible with pericarditis.
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Fig. 1.
Trans-thoracic Echocardiogram performed the day after the presentation. Diffuse mild left ventricular systolic dysfunction, more important at the apex. Left ventricular ejection fraction is measured at 44 %.
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Fig. 2.
Cardiac MRI confirmed the mildly reduced ejection fraction. It demonstrated also a limited late gadolinium enhancement at the apex (left) as well as high T2 and extracellular volume values compatible with edema and injury of the myocardium (middle and right). No pericardial involvement was reported.
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Fig. 3.