case_images: PMC11827712_01
case_images: Initial transthoracic echocardiography revealing dilated heart chambers with reduced ejection fraction (30%).
case_images: cureus-0017-00000077481-i01.jpg
case_images: PMC11827712_01_cureus-0017-00000077481-i01.jpg
case_images: FIG1
case_images: Echocardiography revealed left ventricular dilation with an end-diastolic diameter of 67 mm and a significantly reduced ejection fraction of 30%, consistent with impaired systolic function (Figure 1), consistent with DCM.
case_images: Initial chest X-ray showing cardiomegaly with increased overall dimensions of the heart.
case_images: cureus-0017-00000077481-i02.jpg
case_images: PMC11827712_01_cureus-0017-00000077481-i02.jpg
case_images: FIG2
case_images: Chest X-ray showed cardiomegaly, with a cardiothoracic ratio of 62.5% (Figure 2).
case_images: Follow-up transthoracic echocardiography showing the normalization of cardiac dimensions (left ventricular end-diastolic diameter of 52 mm) and improved systolic function (ejection fraction of 60%) with no evidence of hypokinesis.
case_images: cureus-0017-00000077481-i03.jpg
case_images: PMC11827712_01_cureus-0017-00000077481-i03.jpg
case_images: FIG3
case_images: Three months after initiating treatment, a follow-up transthoracic echocardiogram revealed the normalization of left ventricular ejection fraction to 60% and a significant reduction in cardiac chamber volumes (Figure 3).