case_images: PMC10771578_01
case_images: Echocardiogram images at initial presentation. The ECG depicts severely dilated LA and LV, and severe global hypokinesia with severe LV dysfunction. The estimated ejection fraction is 25%. The ejection fraction by Simpon's method is 23%. GLS using speckle tracking with EPIQ CVx machine (Phillips Healthcare, Best, Netherlands) is -6.3%. EPSS 34mm, MAPSE 10mm. Myocardial performance index is 1.07. . LA: left atrium; LV: left ventricle; GLS: global longitudinal strain; EPSS: E-point septal separation; MAPSE: mitral annular plane systolic excursion
case_images: cureus-0016-00000051768-i01.jpg
case_images: PMC10771578_01_cureus-0016-00000051768-i01.jpg
case_images: FIG1
case_images: An echocardiogram was ordered, the results of which were as follows: severely dilated left ventricle with severe global hypokinesia to akinesia; estimated ejection fraction (EF) of <25%, with EF of 24% obtained by Simpson's method; indeterminate diastolic function; non-invasive cardiac index of 1.6 L/m2; tethering and annulus dilation of mitral valve with moderate to severe eccentric mitral regurgitation (Figure 1).