PMC5821988_01
EKG at admission showing sinus rhythm with frequent premature ventricular complexes and low-voltage QRS.
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fig1
The ECG revealed sinus rhythm with frequent premature ventricular complexes and low-voltage QRS (Figure 1).
Transthoracic echocardiogram showing the left ventricle filled with thrombus.
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fig2
Transthoracic echocardiography (TTE) detected anterior and apical wall akinesias with an LV ejection fraction (EF) of 25-30%, structurally normal valves, and an extremely large thrombus (10 cm x 12 cm) invading the apex and distal anterior wall which was predominantly adherent but with a mobile tip (Figure 2).