PMC9068330_01
(a) ECG of patient upon presentation to the ED, demonstrating characteristics of BDVT. (b) 4 hours later: repeat ECG found to be normal.
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Initial ECG demonstrated characteristics consistent with BDVT, including tachycardia with a left-axis deviation pattern alternating with a right-axis deviation pattern, as well as an alternating bundle branch block (Figure 1(a)). Repeat ECGs were found to be normal at both twenty minutes and four hours (Figure 1(b)).
(a) TTE apical 4-chamber view in systole, demonstrating apical ballooning, suggestive of Takotsubo's stress-induced cardiomyopathy. (b) 14 days later: TTE apical 4-chamber view in systole, demonstrating resolution of patient's Takotsubo's stress-induced cardiomyopathy.
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Transthoracic echocardiography (TTE) demonstrated midleft ventricular (LV) apical hypokinesis and apical ballooning, basal LV hyperkinesis, and mildly reduced left ventricular systolic function (LVSF) consistent with stress-induced cardiomyopathy (Figure 2(a)). The left ventricle was visualized to be normal in size and without regional wall motion abnormalities (Figure 2(b)).