Figure Legends:
Figure 1. ECG on admission.
Figure 2. (A) Cardiac MRI: late gadolinium enhancement imaging (PSIR) in short axis stack. There is patchy myocardial fibrosis in the anterolateral papillary muscle and a small portion of the mid lateral wall (thick arrows). There is a mid-wall fibrosis in the basal anteroseptal segment (arrow head). Additionally, there is fibrosis at both anterior and inferior right ventricular insertion sites (thin arrows). The pattern of myocardial fibrosis is compatible with non-ischemic cardiomyopathy. (B) Coronary angiography: (left) RAO cranial of LCA, (middle) LAO caudal view of LCA, and (right) LAO view of RCA. There was no significant coronary artery disease.
Video 1. Echocardiography of apical (A) 4-chamber, (B) 2-chamber, and (C) 3-chamber views. The left ventricle was mildly dilated with severely decreased function. The right ventricular function was moderately decreased. The left ventricular wall motion was globally severely hypokinetic with regional variations. Inferior and inferoseptal segments were akinetic, whereas the wall motion of basal anterior and lateral segments were rather preserved. The findings were suggestive of ischemic cardiomyopathy.
Video 2. Cardiac MRI steady-state free precession (SSFP) cine imaging of long axis views: (A) 2-chamber, (B) 3-chamber, and (C) 4-chamber views. Cardiac MRI cine imaging showed severely dilated left ventricle with severely decreased systolic function (ejection fraction 17%). The left ventricular wall is globally severely hypokinetic with minimal regional variations. There were prominent trabeculations in the anterior wall from base to apex, that did not meet the criteria for non-compaction. The right ventricle was severely dilated with moderately decreased systolic function.