Confirmation
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Hypertrophic Obstructive Cardiomyopathy
Definition
Inherited genetic condition in which the heart muscle becomes abnormally thick and prone to tachy-arrhythmias.
History/Physical Exam
Often presents in young, athletic patients.
May present with dyspnea, syncope/presyncope, angina, palpitations, orthopnea, paroxysmal nocturnal dyspnea (PND), CHF, and sudden cardiac death. Additionally, systolic crescendo-decrescendo murmur, decreasing on standing.
Key 12-Lead Features
High Left Ventricular Volume, possibly w/ pathological Q-waves in lateral/anterior leads, ST changes and/or T wave inversions.
Key Treatment Points
Patient advocacy for a cardiology consult
12 Lead ECG Samples
References
Helmy, S. M., Maauof, G. F., Shaaban, A. A., ElMaghraby, A. M., Anilkumar, S., Shawky, A. H. H., & Hajar, R. (2011). Hypertrophic Cardiomyopathy: Prevalence, Hypertrophy Patterns, and Their Clinical and ECG Findings in a Hospital at Qatar. Heart Views : The Official Journal of the Gulf Heart Association, 12(4), 143–149. http://doi.org/10.4103/1995-705X.90900.