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Importance of Q waves in early diagnosis of hypertrophic cardiomyopathy
  1. Usha Rao,
  2. A Agarwal
  1. Department of Cardiology, West Suffolk Hospital, Suffolk, UK
  1. Correspondence to Dr Usha Rao, Cardiology SpR, West Suffolk Hospital, Hardwick Lane, Bury St Edmunds, Suffolk IP33 2QZ, UK; drusharao{at}hotmail.com

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A 52-year-old non-smoker was admitted with an ‘out-of-hospital ventricular fibrillatory’ event. He was resuscitated by paramedics. He previously had been fit and well with no family history of sudden cardiac death. ECG showed left ventricular hypertrophy (LVH) with deep T wave inversion (figure 1, panel 1). Coronary angiography revealed normal coronaries, but echocardiogram demonstrated concentric LVH with asymmetrical septal hypertrophy. Cardiac MRI confirmed …

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