1. Prediagnostic electrocardiographic and echocardiographic findings of biopsy‐proven hypertrophic cardiomyopathy
- Author
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Masao Yoshinaga, Shunji Seki, Norihito Nuruki, Yuji Tanaka, Masahiro Sonoda, Seiko Ohno, Erika Yamashita, Kazuyuki Tanoue, and Hatsue Ishibashi‐Ueda
- Subjects
medicine.medical_specialty ,lcsh:Diseases of the circulatory (Cardiovascular) system ,electrocardiography ,Case Report ,Case Reports ,030204 cardiovascular system & hematology ,Gene mutation ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Biopsy ,medicine ,echocardiography ,biopsy ,030212 general & internal medicine ,cardiovascular diseases ,gene mutation ,medicine.diagnostic_test ,business.industry ,Ventricular wall ,Hypertrophic cardiomyopathy ,Sudden cardiac arrest ,medicine.disease ,hypertrophic cardiomyopathy ,Abnormal Q Wave ,lcsh:RC666-701 ,Cardiology ,cardiovascular system ,Thickening ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business ,Electrocardiography - Abstract
We present two cases of biopsy‐proven hypertrophic cardiomyopathy (HCM). Both cases showed abnormal electrocardiographic (ECG) findings more than 8 years before diagnosis. A 16‐year‐old healthy male experienced a rescued cardiac arrest. Another male adolescent showed abnormal Q wave and thickened ventricular wall at 15 years old. Retrospective analyses of ECGs performed at 6 years old indicated abnormal ECG findings. However, the diagnosis was normal because no ventricular wall thickening was present in echocardiography. For early diagnosis of HCM to prevent sudden cardiac arrest or death, it is essential to establish ECG and echocardiographic criteria to screen HCM in the young.
- Published
- 2018