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Internal Medicine

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The prominent 3 findings:

A- LA myxoma: protruding in MV and leading to supra valvular MS.

The classical features of an atrial myxoma in echocardiography include polypoid or papillary mass attached to the interatrial septum through a stalk and moving to and fro into the cavity, sometimes protruding into the corresponding ventricular cavity across the atrioventricular valve.

B- Impaired LV systolic function: EF 30%

C- Apical akinesia: which should raise your suspicion of embolic manifestation of LA myxoma to LAD....But you have to exclude atherosclerotic CAD first.....

Takutsubo CM should also be in your mind ๐Ÿค”

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