My Heart, My Heart, Kickstart My Heart

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My Heart, My Heart, Kickstart My Heart - Page #3

Lab Studies: Troponin: 0.195, then 1.3 CBC: Normal CMP: Normal Phosphorus: 3.5 Magnesium: 2.2 TSH: 3.86 BNP: 57 Lactic Acid: 1.3 Cholesterol: 125 PT: 14.8 INR: 1.1 APTT: 30.5 Other Studies: Chest X-ray - Normal with no acute findings Case Photo #1 Initial ECG - Wide QRS tachycardia Case Photo #2 Post cardioversion ECG - Normal sinus rhythm. Case Photo #3 Nonspecific T wave abnormality. Transthoracic echocardiogram: Ventricular imaging suggestive of possible biventricular non-compaction. LVEF is normal 55-60%. Noram left ventricular diastolic function and normal filling pressures. Right ventricle is mildly dilated. Consultations: His metoprolol dose was increased. When stable, he was discharged to follow up at a specialty center outside of the city. He was then seen at the outside tertiary care facility where he had a negative Cardiac catheterization. Cardiac MRI showed Right ventricle is dilated and there is moderate global systolic dysfunction. Focal areas of akinesia and dyskinesia involving the mid anterior free wall. There is also probable late gadolinium enhancement in the RV. Electrophysiologic studies were also done and confirmed the diagnosis. Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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