case_images: PMC10623926_01
case_images: EKG showing tachycardia with ST-segment abnormalities in the anterior leads and poor R wave progression in the anterior leads suggestive of a prior septal infarction.
case_images: 10.1177_23247096231209554-fig1.jpg
case_images: PMC10623926_01_10.1177_23247096231209554-fig1.jpg
case_images: fig1-23247096231209554
case_images: A 12-lead electrocardiogram showed sinus tachycardia with a heart rate of 115 beats per minute, with non-specific ST segment and T wave abnormalities in leads V1, V2, and V3 with a septal Q wave suggestive of prior septal infarction (Figure 1).
case_images: Posteroanterior chest radiograph showing opacification in the right upper lobe suggesting the previous area of malignancy (arrow) and hyperinflated lungs. These findings were unchanged from the previous chest x-rays.
case_images: 10.1177_23247096231209554-fig2.jpg
case_images: PMC10623926_01_10.1177_23247096231209554-fig2.jpg
case_images: fig2-23247096231209554
case_images: Chest x-ray showed a previous area of malignancy with no interval change (Figure 2).
case_images: Transthoracic echocardiogram with perfluten contrast in showing apical ballooning and diffuse hypokinesis with sparing of basal segments suggesting stress cardiomyopathy (arrows): (a) end-systolic view and (b) end-diastolic view.
case_images: 10.1177_23247096231209554-fig3.jpg
case_images: PMC10623926_01_10.1177_23247096231209554-fig3.jpg
case_images: fig3-23247096231209554
case_images: A transthoracic echocardiogram (TTE) showed an ejection fraction of 25%, akinesis of the apical anterior segment, and hypokinesis of multiple segments including the entire septum and apex suggesting multivessel disease or stress-induced/Takotsubo cardiomyopathy (Figure 3).