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Palpitations in a 64-year-old man
  1. Michael A Bauml1,
  2. Jaehoon Chung1,
  3. John V Groth2,
  4. Afshin Farzaneh-Far1,3,4
  1. 1Section of Cardiology, Department of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA
  2. 2Department of Pathology, University of Illinois at Chicago, Chicago, Illinois, USA
  3. 3Department of Radiology, University of Illinois at Chicago, Chicago, Illinois, USA
  4. 4Division of Cardiology, Department of Medicine, Duke University, Durham, North Carolina, USA
  1. Correspondence to Dr Afshin Farzaneh-Far, Section of Cardiology, Department of Medicine, University of Illinois at Chicago, 840 South Wood St, M/C 715, Suite 920 S, Chicago, IL 60612, USA; afshin{at}uic.edu

Abstract

A 64-year-old man presented with several weeks of intermittent irregular palpitations. He had no prior history of cardiac disease, hypertension or syncope. A 12-lead ECG revealed sinus rhythm with premature atrial and ventricular contractions and high QRS voltages consistent with LV-hypertrophy. Cardiac MR revealed asymmetrical septal hypertrophy and marked mid-myocardial hyperenhancement of the interventricular septum.

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