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- 66 bpm
- Sinus Rhythm
- PR - Normal (~200ms)
- QRS - Normal (105ms)
- QT - 400ms
- Dominant R wave leads V2-3
- T wave inversion leads I, aVL, V2-6
- ST Depression leads I, II
- ST elevation V2-3
What happened ?
The patient's had known findings apical hypertrophic cardiomyopathy, sometimes referred to as Yamaguchi Syndrome. He was investigated for a potential neurological cause of abnormal limb movement and discharged for ongoing out-patient follow-up.
You can read more about apical hypertrophic cardiomyopathy in the links below:
- Life in the Fast Lane - Hypertrophic Cardiomyopathy
- Madias JE. Electrocardiogram in apical hypertrophic cardiomyopathy with a speculation as to the mechanism of its features. Neth Heart J. 2013 Jun;21(6):268-71. PMID:23686564
- Yıldırım MN, Selçoki Y, Eryonucu B. Apical Hypertrophic Cardiomyopathy. Eur J Gen Med 2010;7(2):206-209
References / Further Reading
- Chan TC, Brady WJ, Harrigan RA, Ornato JP, Rosen P. ECG in Emergency Medicine and Acute Care. Elsevier Mosby 2005.