PMC9311875_01
(A) Left ventriculogram consistent with apical ballooning. Angiogram showing good TIMI 3 flow in both the left (B) and right (C) coronary system.
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She was found to have no significant coronary artery stenosis with good thrombolysis in myocardial infarction (TIMI) 3 flow and a left ventriculogram with apical ballooning (Figure 1).
(A) Hospital day 2 ECHO with contrast showing an ejection fraction of 20-25%, normal left ventricular chamber size with apical hypokinesis and basal hyperkinesis consistent with TCM. (B) Hospital day 22 ECHO with contrast showing return of normal left ventricular function with no regional wall abnormalities. LVID: left ventricular internal dimension; ESV: end systolic volume; EF: ejection fraction.
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A follow-up transthoracic echocardiogram showed return of normal cardiac function, ejection fraction of greater than 55%, and no regional wall abnormalities (Figure 2).