case_images: PMC4677587_01
case_images: Chest X-ray showing no active disease.
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case_images: PMC4677587_01_JCHIMP-5-29704-g001.jpg
case_images: F0001
case_images: Chest X-ray on admission was normal (Fig. 1).
case_images: Admission electrocardiogram showing sinus tachycardia and non-specific T-wave abnormality.
case_images: JCHIMP-5-29704-g002.jpg
case_images: PMC4677587_01_JCHIMP-5-29704-g002.jpg
case_images: F0002
case_images: T-wave abnormality (Fig. 2). The following day, the patient became tachycardic, agitated, and confused with auditory and visual hallucinations, delusions, tactile disturbances with a Clinical Institute Withdrawal Assessment of Alcohol
case_images: Electrocardiogram showing ventricular tachycardia.
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case_images: PMC4677587_01_JCHIMP-5-29704-g003.jpg
case_images: F0003
case_images: Cardiac monitoring in the intensive care unit and a 12-lead ECG revealed episodes of non-sustained monomorphic ventricular tachycardia (Fig. 3).
case_images: Chest X-ray showing pulmonary vascular congestion.
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case_images: PMC4677587_01_JCHIMP-5-29704-g004.jpg
case_images: F0004
case_images: Chest X-ray obtained at this time was suggestive of pulmonary edema (Fig. 4).
case_images: Electrocardiogram showing diffuse ST-segment elevation.
case_images: JCHIMP-5-29704-g005.jpg
case_images: PMC4677587_01_JCHIMP-5-29704-g005.jpg
case_images: F0005
case_images: A repeat ECG few hours later showed diffused ST elevation (Fig. 5), and a bedside echocardiogram revealed left ventricular dilatation with apical ballooning on systole with a left ventricular ejection fraction of 20-25% and normal pulmonary artery pressures (Fig. 6).
case_images: Repeat chest X-ray with improved lung aeration.
case_images: JCHIMP-5-29704-g007.jpg
case_images: PMC4677587_01_JCHIMP-5-29704-g007.jpg
case_images: F0007
case_images: Significant clinical and radiological improvement (Fig. 7) leading to subsequent extubation was observed over the next few days.
case_images: (a, b) Coronary angiogram showing no significant coronary artery disease.
case_images: JCHIMP-5-29704-g008.jpg
case_images: PMC4677587_01_JCHIMP-5-29704-g008.jpg
case_images: F0008
case_images: ST-T wave changes resolved. She subsequently underwent cardiac catheterization, which revealed no significant coronary artery disease (Fig. 8a and b).