RT Journal Article
SR Electronic
T1 A 72-year-old male with recurrent syncope
JF Heart
JO Heart
FD BMJ Publishing Group Ltd and British Cardiovascular Society
SP 800
OP 800
DO 10.1136/heartjnl-2016-309670
VO 103
IS 10
A1 Dhanuka Perera
A1 Rakesh Uppal
A1 John Hogan
YR 2017
UL http://heart.bmj.com/content/103/10/800.abstract
AB Clinical introduction A 72-year-old patient presented with recurrent syncope 1 year after a myocardial infarction. Two recent falls resulted in fractures to the femur. Serial troponins were negative and ECG demonstrated fixed inferior ST-segment elevation and pathological Q waves. A Holter monitor recorded non-sustained ventricular tachycardia. A subsequent echocardiogram was abnormal, and further investigation with a three-dimensional (3D) cardiac CT coronary angiogram was performed (figure 1).Figure 1 Cardiac CT coronary angiogram—three-dimensional reconstruction.Question What is the most likely diagnosis? Cardiac tumourHypertrophic obstructive cardiomyopathyVentricular aneurysmVentricular diverticulumQuestion