See beyond the seen: ischemic cardiomyopathy with diagnostic dilemma
Cardiomyopathy can have different aetiologies. Patient may present with typical symptoms of acute heart failure or ischemic chest pain, depending on the underlying aetiologies. It is the responsibility of the treating physician to find out the cause as prompt treatment could possibly alter the...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Pusat Perubatan Universiti Kebangsaan Malaysia
2021
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| Online Access: | http://journalarticle.ukm.my/17452/ http://journalarticle.ukm.my/17452/1/21_ms0362_pdf_13153.pdf |
| _version_ | 1848814318605303808 |
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| author | Er, Elise Lay Ze Johar MJ, |
| author_facet | Er, Elise Lay Ze Johar MJ, |
| author_sort | Er, Elise Lay Ze |
| building | UKM Institutional Repository |
| collection | Online Access |
| description | Cardiomyopathy can have different aetiologies. Patient may present with typical
symptoms of acute heart failure or ischemic chest pain, depending on the
underlying aetiologies. It is the responsibility of the treating physician to find out
the cause as prompt treatment could possibly alter the prognosis of the patient,
but at the same time bearing in mind other possible diagnosis apart from the one
which is obvious. In this case, we present a lady who came with breathlessness
and no chest pain. She was tachycardic and tachypnoeic upon arrival and her electrocardiogram (ECG) showed ischemic changes in the inferior and lateral leads.
Bedside echocardiogram showed dilated left ventricle. Her cardiac biomarker was
raised, making an ischemic event unlikely to be excluded. She eventually succumb
to her illness. The objective of this case report was to highlight the importance of
keeping an open mind about the differential diagnoses available, knowing that the
conditions could have overlap features. |
| first_indexed | 2025-11-15T00:32:11Z |
| format | Article |
| id | oai:generic.eprints.org:17452 |
| institution | Universiti Kebangasaan Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T00:32:11Z |
| publishDate | 2021 |
| publisher | Pusat Perubatan Universiti Kebangsaan Malaysia |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | oai:generic.eprints.org:174522021-09-23T04:11:38Z http://journalarticle.ukm.my/17452/ See beyond the seen: ischemic cardiomyopathy with diagnostic dilemma Er, Elise Lay Ze Johar MJ, Cardiomyopathy can have different aetiologies. Patient may present with typical symptoms of acute heart failure or ischemic chest pain, depending on the underlying aetiologies. It is the responsibility of the treating physician to find out the cause as prompt treatment could possibly alter the prognosis of the patient, but at the same time bearing in mind other possible diagnosis apart from the one which is obvious. In this case, we present a lady who came with breathlessness and no chest pain. She was tachycardic and tachypnoeic upon arrival and her electrocardiogram (ECG) showed ischemic changes in the inferior and lateral leads. Bedside echocardiogram showed dilated left ventricle. Her cardiac biomarker was raised, making an ischemic event unlikely to be excluded. She eventually succumb to her illness. The objective of this case report was to highlight the importance of keeping an open mind about the differential diagnoses available, knowing that the conditions could have overlap features. Pusat Perubatan Universiti Kebangsaan Malaysia 2021-06 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/17452/1/21_ms0362_pdf_13153.pdf Er, Elise Lay Ze and Johar MJ, (2021) See beyond the seen: ischemic cardiomyopathy with diagnostic dilemma. Medicine & Health, 16 (1). pp. 256-261. ISSN 2289-5728 https://www.medicineandhealthukm.com/toc/16/1 |
| spellingShingle | Er, Elise Lay Ze Johar MJ, See beyond the seen: ischemic cardiomyopathy with diagnostic dilemma |
| title | See beyond the seen: ischemic cardiomyopathy with diagnostic dilemma |
| title_full | See beyond the seen: ischemic cardiomyopathy with diagnostic dilemma |
| title_fullStr | See beyond the seen: ischemic cardiomyopathy with diagnostic dilemma |
| title_full_unstemmed | See beyond the seen: ischemic cardiomyopathy with diagnostic dilemma |
| title_short | See beyond the seen: ischemic cardiomyopathy with diagnostic dilemma |
| title_sort | see beyond the seen: ischemic cardiomyopathy with diagnostic dilemma |
| url | http://journalarticle.ukm.my/17452/ http://journalarticle.ukm.my/17452/ http://journalarticle.ukm.my/17452/1/21_ms0362_pdf_13153.pdf |