case_images: PMC7125327_01
case_images: 12 lead ECG showing MBBB precordial type. RBBB in right precordial leads, absent deep S waves in lead V5, V6 and I. LBBB in left precordial leads.
case_images: IMCRJ-13-105-g0001.jpg
case_images: PMC7125327_01_IMCRJ-13-105-g0001.jpg
case_images: F0001
case_images: The right precordial leads revealed right bundle branch block, left precordial leads revealed LBBB and absence of deep and wide S waves in leads V5, V6 and I (precordial type MBBB) as shown in Figure 1. 
case_images: Posterior-anterior view of chest X-ray showing cardiomegaly with a CTR of 185/285 (65%), unfolded aorta, cephalization and bilateral hilar fullness with associated peribronchial cuffing.
case_images: IMCRJ-13-105-g0002.jpg
case_images: PMC7125327_01_IMCRJ-13-105-g0002.jpg
case_images: F0002
case_images: Parasternal long axis showing dilated left ventricle and atrium.
case_images: IMCRJ-13-105-g0003.jpg
case_images: PMC7125327_01_IMCRJ-13-105-g0003.jpg
case_images: F0003
case_images: An echocardiogram as shown in Figure 3-5 revealed enlarged left ventricle, severe left ventricular systolic dysfunction with ejection fraction of 19%, dilated left atrium, grade 3 diastolic dysfunction with E/A velocity ratio of 2.31, E/e' of 29.7, and moderate mitral and tricuspid regurgitation.
case_images: Parasternal long axis. Left ventricular dimension and systolic function.
case_images: IMCRJ-13-105-g0004.jpg
case_images: PMC7125327_01_IMCRJ-13-105-g0004.jpg
case_images: F0004
case_images: An echocardiogram as shown in Figure 3-5 revealed enlarged left ventricle, severe left ventricular systolic dysfunction with ejection fraction of 19%, dilated left atrium, grade 3 diastolic dysfunction with E/A velocity ratio of 2.31, E/e' of 29.7, and moderate mitral and tricuspid regurgitation.
case_images: Left ventricular inflow velocities.
case_images: IMCRJ-13-105-g0005.jpg
case_images: PMC7125327_01_IMCRJ-13-105-g0005.jpg
case_images: F0005
case_images: An echocardiogram as shown in Figure 3-5 revealed enlarged left ventricle, severe left ventricular systolic dysfunction with ejection fraction of 19%, dilated left atrium, grade 3 diastolic dysfunction with E/A velocity ratio of 2.31, E/e' of 29.7, and moderate mitral and tricuspid regurgitation.