PMC4352732_01
EKG shows normal sinus rhythm with frequent premature ventricular complexes (Arrows).
CRIC2015-319312.001.jpg
PMC4352732_01_CRIC2015-319312.001.jpg
fig1
Routine EKG was done which showed sinus rhythm and frequent premature ventricular contractions (PVC) with no ST or T wave ischemic changes (Figure 1).
CXR done on 2nd day shows pulmonary edema, cardiomegaly, and bilateral pleural effusions.
CRIC2015-319312.002.jpg
PMC4352732_01_CRIC2015-319312.002.jpg
fig2
CXR showed bilateral interstitial edema, cardiomegaly, and pleural effusion in both lungs (Figure 2).
Echocardiogram showing dilated LV and EF of 10%.
CRIC2015-319312.003.jpg
PMC4352732_01_CRIC2015-319312.003.jpg
fig3
Urgent transthoracic echocardiography was done which showed ejection fraction of 10% and left ventricle dilation without focal wall motion defect and or focal thinning (Figure 3).
Cardiac catheterization showing normal coronary arteries.
CRIC2015-319312.004.jpg
PMC4352732_01_CRIC2015-319312.004.jpg
fig4
Cardiac catheterization revealed EF of 13% and normal coronary arteries (Figure 4).