case_images: PMC8591098_01
case_images: Twelve-lead electrocardiogram showing complete left bundle branch block.
case_images: fcvm-08-720154-g0001.jpg
case_images: PMC8591098_01_fcvm-08-720154-g0001.jpg
case_images: F1
case_images: Her electrocardiogram revealed sinus rhythm with complete left bundle branch block (Figure 1).
case_images: Four-chamber echocardiogram showing a dilated left ventricle.
case_images: fcvm-08-720154-g0002.jpg
case_images: PMC8591098_01_fcvm-08-720154-g0002.jpg
case_images: F2
case_images: Transthoracic echocardiogram showed a dilated and severely hypokinetic left ventricle (LV 68 mm) with an ejection fraction (EF) of 33% (Figure 2), while coronary angiography revealed no significant coronary artery disease.
case_images: The constantly deficient secretion of cortisol.
case_images: fcvm-08-720154-g0003.jpg
case_images: PMC8591098_01_fcvm-08-720154-g0003.jpg
case_images: F3
case_images: Continuous cortisol monitoring revealed that her plasma cortisol was constantly deficient (Figure 3).
case_images: Contrast-enhanced computed tomography revealing atrophic bilateral adrenal glands (red arrows).
case_images: fcvm-08-720154-g0004.jpg
case_images: PMC8591098_01_fcvm-08-720154-g0004.jpg
case_images: F4
case_images: Additionally, her abdominal enhanced computed tomography revealed atrophic bilateral adrenal glands (Figure 4), indicating long-standing and severe adrenal insufficiency.