Abstract
A 49-year-old male was transferred to the institution from a peripheral centre with severe left ventricular dysfunction. Two weeks prior to presentation he had been working as a plasterer and was asymptomatic. His presentation had been precipitated by a flu-like illness, which culminated in dyspnoea, orthopnoea, and paroxysmal nocturnal dyspnoea. Initial pathology was unremarkable. Transthoracic echocardiogram showed an ejection fraction of 10% with global dysfunction. He was transferred to the current centre for further management.
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