case_images: PMC4008476_01
case_images: Coronary angiography of the left coronary tree with no angiographic evidence of obstructive disease.
case_images: CRIM.CARDIOLOGY2011-481394.001.jpg
case_images: PMC4008476_01_CRIM.CARDIOLOGY2011-481394.001.jpg
case_images: fig1
case_images: Patient underwent left heart catheterization early morning that revealed no angiographic evidence of disease in all epicardial coronaries with evidence of mid cavitary akinesis and apical as well as basal hyperkinesis with ejection fraction (EF) calculated at 37% and mildly elevated left ventricular end-diastolic pressure (Figures 1, 2, and 3).
case_images: Coronary angiography of the right coronary tree with no angiographic evidence of obstructive disease.
case_images: CRIM.CARDIOLOGY2011-481394.002.jpg
case_images: PMC4008476_01_CRIM.CARDIOLOGY2011-481394.002.jpg
case_images: fig2
case_images: Patient underwent left heart catheterization early morning that revealed no angiographic evidence of disease in all epicardial coronaries with evidence of mid cavitary akinesis and apical as well as basal hyperkinesis with ejection fraction (EF) calculated at 37% and mildly elevated left ventricular end-diastolic pressure (Figures 1, 2, and 3).
case_images: Left ventriculogram showing apical and basal hyperkinesis and mid cavitary akinesis.
case_images: CRIM.CARDIOLOGY2011-481394.003.jpg
case_images: PMC4008476_01_CRIM.CARDIOLOGY2011-481394.003.jpg
case_images: fig3
case_images: Patient underwent left heart catheterization early morning that revealed no angiographic evidence of disease in all epicardial coronaries with evidence of mid cavitary akinesis and apical as well as basal hyperkinesis with ejection fraction (EF) calculated at 37% and mildly elevated left ventricular end-diastolic pressure (Figures 1, 2, and 3).
case_images: Mid cavitary view of the left and right ventricle on cardiac MRI.
case_images: CRIM.CARDIOLOGY2011-481394.004.jpg
case_images: PMC4008476_01_CRIM.CARDIOLOGY2011-481394.004.jpg
case_images: fig4
case_images: Cardiac magnetic resonance imaging was performed the next day and revealed no areas of enhancement within the epicardium, the myocardium, or the endocardium ruling out myocarditis or infarct with mid cavitary hypokinesis and EF estimated to be 38% (Figure 4).