case_images: PMC5827055_01
case_images: 12 leads electrocardiography of the patient
case_images: emerg-6-e9-g001.jpg
case_images: PMC5827055_01_emerg-6-e9-g001.jpg
case_images: F1
case_images: An electrocardiogram (ECG) showed sinus tachycardia, low voltage, poor progression of R-wave in precordial leads, incomplete LBBB, extreme right axis deviation with RV strain, S1 Q3 inverse T3 pattern, Q-wave in 2-3 AVF suggestive of old MI (Figure 1).
case_images: Transthoracic echocardiography of the patient (parasternal long axis view)
case_images: emerg-6-e9-g002.jpg
case_images: PMC5827055_01_emerg-6-e9-g002.jpg
case_images: F2
case_images: Transthoracic echocardiography (TTE) revealed severe left ventricular (LV) and left atrial (LA) dilatation, extremely impaired systolic function with left ventricular ejection fraction (LVEF) below 15% (actual was 8%), full size RV, normal mitral and aortic valve, normal aortic root size (Figure 2).