C79 NEGATIVE T WAVES ON ECG: NOT JUST HYPERTROPHIC CARDIOMYOPATHY

Japanese type cardiomyopathy without deep negative T-waves and with findings of preexcitation on ECG.

We present an apical cardiomyopathy case with normal T waves and findings of preexcitation on electrocardiogram (ECG). Apical type hypertrophic cardiomyopathy (HCM) is a specific variant of HCM. This disease is fist described in Japan where the disease is more prevalent than in Western countries. It is generally accepted as a subgroup of nonobstructive HCM, but in some cases cavitary gradients ...

ECG diagnosis: apical hypertrophic cardiomyopathy.

Joel t levis, MD, PhD, faceP, faaeM, is a Senior Emergency Physician at the Santa Clara Medical Center, and Clinical Instructor of Emergency Medicine (Surgery) at Stanford University. He is the Medical Director for the Foothill College Paramedic Program in Los Altos, CA. E-mail: [email protected]. Figure 1. 12-lead ECG from a 52-year-old man following a syncopal episode. Demonstrates a normal s...

Q waves in hypertrophic cardiomyopathy: a reassessment.

ECG Diagnosis: Hyperacute T Waves.

After QT prolongation, hyperacute T waves are the earliest-described electrocardiographic sign of acute ischemia, preceding ST-segment elevation. The principle entity to exclude is hyperkalemia-this T-wave morphology may be confused with the hyperacute T wave of early transmural myocardial infarction.

A case of asymmetrical apical hypertrophy which is a form of hypertrophic nonobstructive cardiomyopathy with giant negative T-waves.

Clinical, hemodynamic, electrocardiographic (ECG), echocardiographic, left ventricular (LV), and coronary angiographic (CA) findings are reported in a case with apical hypertrophy (AH), a form of hypertrophic nonobstructive cardiomyopathy (HNCM). The most striking symptom was chest pain and the most conspicuous electrocardiographic finding consisted of giant negative T waves, reaching an amplit...