© 2004 Fellowship of Postgraduate Medicine
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A patient with recurrent syncope
| The first 150 words of the full text of this article appear below. |
His admission ECG (fig 1
in questions; p 117) shows sinus rhythm with deep T-wave inversion in leads I, aVL, and V2–V6.
[in a new window] Figure 1 A contrast transthoracic echocardiogram showing a magnified view of the left ventricular apex in the apical four chamber view highlighting the left ventricular apical hypertrophy (thin arrows) and the blood/contrast in the apical cavity (thick arrow).
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A transthoracic echocardiogram showed marked hypertrophy of the left ventricular apex (fig 1
). There was no septal hypertrophy, systolic anterior motion of the mitral valve, or evidence of left ventricular outflow tract obstruction. A 24 hour ECG detected asymptomatic episodes of non-sustained ventricular tachycardia. On treadmill exercise testing he managed 10 minutes of the Bruce protocol without exercise induced arrhythmias. Immediately after exercise, he developed profound hypotension and bradycardia (fig 2) with transient loss of consciousness. During tilt table testing he became symptomatic at 14 minutes and dropped his
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- A patient with recurrent syncope
- S Zachariah and G K Davis
Postgrad. Med. J. 2004 80: 117.[Extract] [Full Text] [PDF]
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