case_images: PMC3716220_01
case_images: EKG done in the ER showing sinus tachycardia and ST elevations.
case_images: JCHIMP-3-20530-g001.jpg
case_images: PMC3716220_01_JCHIMP-3-20530-g001.jpg
case_images: F0001
case_images: EKG at the time of admission showed sinus tachycardia with anterior ST elevations in the precordial leads and corrected QT interval of 407 ms (Fig. 1).
case_images: EKG done 5 hours later showing reversal of aforementioned abnormalities.
case_images: JCHIMP-3-20530-g002.jpg
case_images: PMC3716220_01_JCHIMP-3-20530-g002.jpg
case_images: F0002
case_images: Follow-up EKG obtained 5 hours after admission showed resolution of anterior ST elevation (Fig. 2).
case_images: Chest radiograph showing no underlying infiltrates or cardiomegaly.
case_images: JCHIMP-3-20530-g003.jpg
case_images: PMC3716220_01_JCHIMP-3-20530-g003.jpg
case_images: F0003
case_images: Chest radiograph showed clear lung fields with no infiltrates or cardiomegaly (Fig. 3).
case_images: Echocardiogram, pre-diastolic.
case_images: JCHIMP-3-20530-g004.jpg
case_images: PMC3716220_01_JCHIMP-3-20530-g004.jpg
case_images: F0004
case_images: Transthoracic echocardiography showed poor left ventricular systolic function, a marked anterior focal wall motion abnormality in the distribution of the left anterior descending artery, and mild-to-moderate tricuspid regurgitation (Figs. 4-7).
case_images: Echo, Pre-systolic.
case_images: JCHIMP-3-20530-g005.jpg
case_images: PMC3716220_01_JCHIMP-3-20530-g005.jpg
case_images: F0005
case_images: Transthoracic echocardiography showed poor left ventricular systolic function, a marked anterior focal wall motion abnormality in the distribution of the left anterior descending artery, and mild-to-moderate tricuspid regurgitation (Figs. 4-7).
case_images: Echocardiogram, post-diastolic.
case_images: JCHIMP-3-20530-g006.jpg
case_images: PMC3716220_01_JCHIMP-3-20530-g006.jpg
case_images: F0006
case_images: Transthoracic echocardiography showed poor left ventricular systolic function, a marked anterior focal wall motion abnormality in the distribution of the left anterior descending artery, and mild-to-moderate tricuspid regurgitation (Figs. 4-7).
case_images: Echocardiogram, post-systolic. Note that there is not much difference between the post-systolic and the pre-systolic images suggesting some stunning of the myocardium.
case_images: JCHIMP-3-20530-g007.jpg
case_images: PMC3716220_01_JCHIMP-3-20530-g007.jpg
case_images: F0007
case_images: Transthoracic echocardiography showed poor left ventricular systolic function, a marked anterior focal wall motion abnormality in the distribution of the left anterior descending artery, and mild-to-moderate tricuspid regurgitation (Figs. 4-7).
case_images: Cardiac catheterization showing apical ballooning in the left ventricle.
case_images: JCHIMP-3-20530-g008.jpg
case_images: PMC3716220_01_JCHIMP-3-20530-g008.jpg
case_images: F0008