A change of heart: Transformation of the electrocardiogram in a patient with apical hypertrophic cardiomyopathy

Benjamin Gold; John E. Madias

doi:10.1016/j.ajem.2020.03.002

A change of heart: Transformation of the electrocardiogram in a patient with apical hypertrophic cardiomyopathy

Benjamin Gold, John E. Madias

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

An asymptomatic 83-year-old man with a history of hypertension, prior stroke with no residual deficits, and bilateral carotid artery stenosis, presented for evaluation prior to cataract surgery. His transthoracic echocardiogram was typical for apical hypertrophic cardiomyopathy (AHCM), and his electrocardiograms (ECG) showed large precordial R-waves and inverted T-waves, previously associated with AHCM, while his ECG 7 years earlier was normal. Mechanistic explanations for the developed ECG abnormalities, and their importance for the detection and monitoring of patients with AHCM are provided.

Original language	English
Pages (from-to)	1540.e1-1540.e4
Journal	American Journal of Emergency Medicine
Volume	38
Issue number	7
DOIs	https://doi.org/10.1016/j.ajem.2020.03.002
State	Published - Jul 2020

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title = "A change of heart: Transformation of the electrocardiogram in a patient with apical hypertrophic cardiomyopathy",

abstract = "An asymptomatic 83-year-old man with a history of hypertension, prior stroke with no residual deficits, and bilateral carotid artery stenosis, presented for evaluation prior to cataract surgery. His transthoracic echocardiogram was typical for apical hypertrophic cardiomyopathy (AHCM), and his electrocardiograms (ECG) showed large precordial R-waves and inverted T-waves, previously associated with AHCM, while his ECG 7 years earlier was normal. Mechanistic explanations for the developed ECG abnormalities, and their importance for the detection and monitoring of patients with AHCM are provided.",

author = "Benjamin Gold and Madias, {John E.}",

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A change of heart: Transformation of the electrocardiogram in a patient with apical hypertrophic cardiomyopathy

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