PMC5546119_01
ECG.
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fig1
ST elevation in anterolateral leads (Figure 1) and troponins I peak to 38.97 ng/mL.
Echocardiogram showing apical hypokinesia.
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fig2
Echocardiogram (Figure 2) showed apical hypokinesia, ejection fraction of 40%, and systolic anterior motion of mitral valve with hyperdynamic left ventricle, in the absence of intracoronary thrombus formation in the angiogram (Figure 3). Subsequently patient underwent coronary angiography which showed no evidence of CAD, hypokinetic apex, and ejection fraction of 55%, which were consistent with TC. Electroencephalogram (EEG) showed evidence of generalized tonic-clonic seizure.
Coronary angiogram and left ventriculography.
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fig3
Echocardiogram (Figure 2) showed apical hypokinesia, ejection fraction of 40%, and systolic anterior motion of mitral valve with hyperdynamic left ventricle, in the absence of intracoronary thrombus formation in the angiogram (Figure 3). Subsequently patient underwent coronary angiography which showed no evidence of CAD, hypokinetic apex, and ejection fraction of 55%, which were consistent with TC. Electroencephalogram (EEG) showed evidence of generalized tonic-clonic seizure.