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Man with recent myocardial infarction and heart failure
  1. Dinkar Bhasin1,
  2. Rahul Kumar2,
  3. Sandeep Bansal2
  1. 1 Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, Chandigarh, India
  2. 2 Cardiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, Delhi, India
  1. Correspondence to Dr Rahul Kumar, Cardiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110029, India; rahulk767{at}gmail.com

https://doi.org/10.1136/heartjnl-2022-320808

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    Clinical introduction

    A man in his 50s was referred to our hospital after being treated for acute anterior wall myocardial infarction (MI) with intravenous thrombolysis. The patient had worsening dyspnoea. Examination revealed elevated jugular venous pressure, bilateral crackles and a prominent pansystolic murmur. Coronary angiogram revealed significant stenosis of the distal left main and ostioproximal left anterior descending artery.

    A left ventriculogram was performed during cardiac catheterisation (figure 1, video 1).

    Figure 1

    Left ventriculogram in left anterior oblique projection.

    Video 1

    Disclaimer: this video summarises a scientific article published by BMJ Publishing Group Limited (BMJ). The content of this video has not been peer-reviewed and does not constitute medical advice. Any opinions expressed are solely those of the contributors. Viewers should be aware that professionals in the field may have different opinions. BMJ does not endorse any opinions expressed or recommendations discussed. Viewers should not use the content of the video as the basis …

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    Footnotes

    • Contributors All authors contributed to design, draft preparation and review of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

    • Provenance and peer review Not commissioned; internally peer reviewed.