case_images: PMC11301645_01
case_images: (A) The patient was admitted to the hospital with a left ventricular ejection fraction of 63.2% and normal systolic and diastolic function. (B) After admission to the ICU, bedside color ultrasound examination of the heart showed that the apex of the heart was round and blunt, with left ventricular systolic dysfunction and basal ganglia contraction.
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case_images: F1
case_images: The admission echocardiogram (Figure 1A) and electrocardiogram (Figure 2) showed no significant abnormalities in cardiac structure and function. Bedside echocardiography indicated the patient's left ventricular ejection fraction (EF) was 30%-40%, with segmental dysfunction of the left ventricle and a rounded apex, suggesting the possibility of stress-induced cardiomyopathy (Figure 1B).
case_images: On admission, the electrocardiogram indicated sinus tachycardia; short PR interval; RV1-V3 increases poorly.
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case_images: F2
case_images: The admission echocardiogram (Figure 1A) and electrocardiogram (Figure 2) showed no significant abnormalities in cardiac structure and function.
case_images: Chronic bronchitis and emphysema with multiple bulla formation; both lungs scattered in fibrous foci.
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case_images: F3
case_images: Chest CT indicated bronchospasm without clear signs of infection (Figure 3).
case_images: Electrocardiogram reexamination after the patient was transferred to ICU: abnormal q wave appeared in I and avL, and the ST segment of V3-V6 leads was raised by 0.05-0.15 mV.
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case_images: F4
case_images: The electrocardiogram showed extreme clockwise rotation, left atrial abnormality, abnormal Q waves in leads I and aVL, poor progression of R waves from leads V1 to V6, ST segment elevation of 0.05-0.15 mV in leads V3-V6, and T-wave changes (Figure 4).
case_images: (A) No obvious abnormalities were noted in the left circumflex coronary artery. (B) The most severe segmental eccentric stenosis of about 50% was observed in the middle segment of the left anterior descending coronary artery. (C) The most severe segmental eccentric stenosis of about 50% was observed in the middle segment of the right coronary artery.
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case_images: F5
case_images: Emergency coronary angiography revealed approximately 50% eccentric stenosis in the mid-segment of the left anterior descending coronary artery and approximately 50% eccentric stenosis in the mid-segment of the right coronary artery, with no significant abnormalities in other vessels (Figure 5).