July 2008 Br J Cardiol 2008;15:215-6
Didier Locca, Ciara Bucciarelli-Ducci, Sanjay K Prasad
Abstract
Case report
Figure 1. Electrocardiogram (ECG) features of left ventricular hypertrophy
A 67-year-old man was referred to the cardiology clinic with a history of collapse and a family history of hypertrophic cardiomyopathy (HCM). He denied any history of angina or dyspnoea. On physical examination he had a 3/6 grade ejection murmur in the aortic area and a pansystolic murmur at the mitral area accentuated on squatting. There were no signs of volume overload. X-ray angiography demonstrated normal coronaries but a raised end diastolic pressure. His electrocardiogram (ECG) was compatible with left ventricular (LV) hypertrophy (figure 1). A single
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