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Unusual presentation of cardiogenic shock in a young patient
  1. Adam Ioannou
  1. Royal Free London NHS Foundation Trust, London, UK
  1. Correspondence to Dr Adam Ioannou, Royal Free London NHS Foundation Trust, London, UK; adamioannou14{at}

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Clinical introduction

A young patient presented with central chest pain and dyspnoea. The 12-lead ECG demonstrated sinus tachycardia with anterior T-wave inversion. Shortly after presenting the patient developed cardiogenic shock, with chest X-ray showing widespread bilateral infiltrates. Initial blood tests revealed a raised troponin-T (>10 000 ng/L) and coronary angiography demonstrated unobstructed coronary arteries. A bedside transthoracic echocardiogram and subsequent endomyocardial biopsy confirmed the underlying diagnosis (figure 1 and online supplemental material).

Supplementary video

Figure 1

(A) Bedside transthoracic echocardiogram, apical four-chamber view in diastole; (B) bedside transthoracic …

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  • Contributors AI wrote the case report.

  • 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.

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