Fig. 3.

The clinical course of the patient. After admission, diuretics (furosemide and eplerenone) were given together with verapamil which relieved symptoms of heart failure. Bisoprolol was given to control ventricular rate further. Following a general malaise, the patient developed shock that needed catecholamines (dopamine, dobutamine, and noradrenaline) and IABP. The liver enzymes were elevated to peaks on 7th day and returned to the normal levels with hemodynamic improvement. bpm, beats per minute; IABP, intra-aortic balloon pumping; LDH, lactic dehydrogenase; Cr, creatine kinase; ALT, alanine transaminase; AST, aspartate transaminase.