PMC6120333_01
EKG shows junctional escape rhythm with a heart rate (HR) of 37 beats/minute.
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The 12-lead electrocardiogram (ECG) was suggestive of junctional escape rhythm with a heart rate (HR) of 37 beats/minute (Figure 1).
Echocardiogram (2-chamber long-axis view) showing the apical ballooning suggestive of takotsubo cardiomyopathy.
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Transthoracic echocardiography (TTE) showed reduced left ventricular function (ejection fraction (EF) of 30%), with apical ballooning suggestive of takotsubo cardiomyopathy versus acute coronary syndrome (Figure 2).
Left ventriculogram in the right anterior oblique projection showing the ventricular ballooning suggestive of takotsubo cardiomyopathy.
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Left ventriculogram also showed ventricular ballooning suggestive of takotsubo cardiomyopathy (Figure 3).
EKG shows one sinus beat followed by several ventricular paced beats.
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Her diagnosis was suggestive of sick sinus syndrome as she had occasional P waves that were fine (Figure 4).
EKG shows atrial flutter with variable AV block.
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Overnight, she went into an atrial flutter with a variable block (Figure 5). HR was 83 beats/minute (Figure 5). Her atrial flutter continued over the next 24 hours.