case_images: PMC11831032_01
case_images: Electrocardiogram at time of presentation showed normal sinus rhythm with question of inferior infarction with Q wave in lead III and possibly in AVF.
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case_images: PMC11831032_01_ytaf019f1.jpg
case_images: ytaf019-F1
case_images: Electrocardiogram (ECG) showed sinus rhythm (Figure 1), but high-sensitivity troponin T was elevated at 32 ng/L (ref < 20 ng/L).
case_images: Chest radiograph at time of presentation showed clear lungs, calcified right upper and lower paratracheal lymph nodes, and no evidence of pulmonary oedema.
case_images: ytaf019f2.jpg
case_images: PMC11831032_01_ytaf019f2.jpg
case_images: ytaf019-F2
case_images: Chest radiograph showed clear lungs (Figure 2).
case_images: Apical four-chamber view on transthoracic echocardiogram.
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case_images: PMC11831032_01_ytaf019f3.jpg
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case_images: He rapidly decompensated with peak elevation in troponin to 2144 ng/L and developed cardiogenic shock with severe left ventricular (LV) dysfunction (Figures 3-5, Supplementary material online).
case_images: Short-axis view on transthoracic echocardiogram.
case_images: ytaf019f4.jpg
case_images: PMC11831032_01_ytaf019f4.jpg
case_images: ytaf019-F4
case_images: He rapidly decompensated with peak elevation in troponin to 2144 ng/L and developed cardiogenic shock with severe left ventricular (LV) dysfunction (Figures 3-5, Supplementary material online).
case_images: Parasternal long-axis view on transthoracic echocardiogram.
case_images: ytaf019f5.jpg
case_images: PMC11831032_01_ytaf019f5.jpg
case_images: ytaf019-F5
case_images: He rapidly decompensated with peak elevation in troponin to 2144 ng/L and developed cardiogenic shock with severe left ventricular (LV) dysfunction (Figures 3-5, Supplementary material online).