case_images: PMC11735702_01
case_images: A Post-fibrinolytic ECG at the previous hospital; B ECG upon admission on our emergency department
case_images: 43044_2025_607_Fig1_HTML.jpg
case_images: PMC11735702_01_43044_2025_607_Fig1_HTML.jpg
case_images: Fig1
case_images: She was referred due to failed fibrinolytic therapy and persistent chest pain from other hospital (Fig. 1A). Initial electrocardiogram (ECG) on our hospital revealed a persistent ST-segment elevation in inferior (II, III, aVF) and lateral (V4-V6) leads (Fig. 1B). Transthoracic echocardiography (TTE) showed left ventricular (LV) dilatation, reduced LV systolic function (LVEF 34.83% Teichholz), reduced right ventricular (RV) contractility, and global hypokinetic area; no valvular abnormalities are found (Supplementary Fig. 1).
case_images: Non-sustained Ventricular Tachycardia and Bigeminal Premature Ventricular Complex
case_images: 43044_2025_607_Fig2_HTML.jpg
case_images: PMC11735702_01_43044_2025_607_Fig2_HTML.jpg
case_images: Fig2
case_images: She had an episode of non-sustained ventricular tachycardia (NSVT) and bigeminal premature ventricular complexes (PVCs) that responded to lidocaine (Fig. 2). TTE showed normal LV systolic function (LVEF 63.78%), good RV contractility, no RWMA, and mild mitral regurgitation (Supplementary Fig. 2).
case_images: Patient's coronary angiography
case_images: 43044_2025_607_Fig3_HTML.jpg
case_images: PMC11735702_01_43044_2025_607_Fig3_HTML.jpg
case_images: Fig3
case_images: Emergent coronary angiography revealed normal coronary arteries (Fig. 3).