case_images: PMC6120333_01
case_images: EKG shows junctional escape rhythm with a heart rate (HR) of 37 beats/minute.
case_images: CRIC2018-3868091.001.jpg
case_images: PMC6120333_01_CRIC2018-3868091.001.jpg
case_images: fig1
case_images: The 12-lead electrocardiogram (ECG) was suggestive of junctional escape rhythm with a heart rate (HR) of 37 beats/minute (Figure 1).
case_images: Echocardiogram (2-chamber long-axis view) showing the apical ballooning suggestive of takotsubo cardiomyopathy.
case_images: CRIC2018-3868091.002.jpg
case_images: PMC6120333_01_CRIC2018-3868091.002.jpg
case_images: fig2
case_images: Transthoracic echocardiography (TTE) showed reduced left ventricular function (ejection fraction (EF) of 30%), with apical ballooning suggestive of takotsubo cardiomyopathy versus acute coronary syndrome (Figure 2).
case_images: Left ventriculogram in the right anterior oblique projection showing the ventricular ballooning suggestive of takotsubo cardiomyopathy.
case_images: CRIC2018-3868091.003.jpg
case_images: PMC6120333_01_CRIC2018-3868091.003.jpg
case_images: fig3
case_images: Left ventriculogram also showed ventricular ballooning suggestive of takotsubo cardiomyopathy (Figure 3).
case_images: EKG shows one sinus beat followed by several ventricular paced beats.
case_images: CRIC2018-3868091.004.jpg
case_images: PMC6120333_01_CRIC2018-3868091.004.jpg
case_images: fig4
case_images: Her diagnosis was suggestive of sick sinus syndrome as she had occasional P waves that were fine (Figure 4).
case_images: EKG shows atrial flutter with variable AV block.
case_images: CRIC2018-3868091.005.jpg
case_images: PMC6120333_01_CRIC2018-3868091.005.jpg
case_images: fig5
case_images: Overnight, she went into an atrial flutter with a variable block (Figure 5). HR was 83 beats/minute (Figure 5). Her atrial flutter continued over the next 24 hours.