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Persistent ST-Segment Elevation in Hypertrophic Subaortic Stenosis: An Unusual Repolarization Abnormality

Persistent ST-Segment Elevation in Hypertrophic Subaortic Stenosis: An Unusual Repolarization... Abstract • This report describes a 69-year-old man who was diagnosed as having ventricular aneurysm because of abnormal Q waves and marked ST-segment elevation that had been observed during a seven-year period. On investigation, he had no aneurysm but did have hypertrophic subaortic stenosis. Hypertrophic subaortic stenosis should be considered in the differential diagnosis of an ECG that Is suggestive of ventricular aneurysm. (Arch Intern Med 1982;142:1957-1958) References 1. Savage DD, Seides SF, Clark CE, et al: Electrocardiographic finding in patients with obstructive and non-obstructive hypertrophic cardiomyopathy. Circulation 1978;58:402-408.Crossref 2. Bahl OP, Walsh TJ, Massie E: Electrocardiography and vectorcardiography in idiopathic hypertrophic subaortic stenosis. Am J Med Sci 1970;259:262-271.Crossref 3. Braudo M, Wigle DE, Keith JD: Distinctive electrocardiogram in muscular subaortic stenosis due to ventricular septal hypertrophy. Am J Cardiol 1964;19:599-607.Crossref 4. Martin DE, Flowers NC: Clinical-electrocardiographic correlations in diseases of myocardium , in Rios, JC (ed): Clinical Electrocardiographic Correlations. Philadelphia, FA Davis Co, 1977, pp 191-199. 5. Maron BJ, Epstein SE, Roberts WC: Hypertrophic cardiomyopathy and transmural myocardial infarction without significant atherosclerosis of the extramural coronary arteries. Am J Cardiol 1979;43:1086-1102.Crossref 6. Mautner RK, Thomas I, Dhurandhar R, et al: Hypertrophic obstructive cardiomyopathy and coronary artery spasm. Chest 1979;76:636-639.Crossref 7. Goldberger AL: Q wave T wave vector discordance in hypertrophic cardiomyopathy: Septal hypertrophy and strain pattern. Br Heart J 1979;42:201-204.Crossref 8. Ferrans VJ, Morrow AG, Roberts WC: Myocardial ultrastruction in idiopathic hypertrophic subaortic stenosis. Circulation 1972;45:769-792.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Persistent ST-Segment Elevation in Hypertrophic Subaortic Stenosis: An Unusual Repolarization Abnormality

Archives of Internal Medicine , Volume 142 (10) – Oct 1, 1982

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Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1982.00340230207036
Publisher site
See Article on Publisher Site

Abstract

Abstract • This report describes a 69-year-old man who was diagnosed as having ventricular aneurysm because of abnormal Q waves and marked ST-segment elevation that had been observed during a seven-year period. On investigation, he had no aneurysm but did have hypertrophic subaortic stenosis. Hypertrophic subaortic stenosis should be considered in the differential diagnosis of an ECG that Is suggestive of ventricular aneurysm. (Arch Intern Med 1982;142:1957-1958) References 1. Savage DD, Seides SF, Clark CE, et al: Electrocardiographic finding in patients with obstructive and non-obstructive hypertrophic cardiomyopathy. Circulation 1978;58:402-408.Crossref 2. Bahl OP, Walsh TJ, Massie E: Electrocardiography and vectorcardiography in idiopathic hypertrophic subaortic stenosis. Am J Med Sci 1970;259:262-271.Crossref 3. Braudo M, Wigle DE, Keith JD: Distinctive electrocardiogram in muscular subaortic stenosis due to ventricular septal hypertrophy. Am J Cardiol 1964;19:599-607.Crossref 4. Martin DE, Flowers NC: Clinical-electrocardiographic correlations in diseases of myocardium , in Rios, JC (ed): Clinical Electrocardiographic Correlations. Philadelphia, FA Davis Co, 1977, pp 191-199. 5. Maron BJ, Epstein SE, Roberts WC: Hypertrophic cardiomyopathy and transmural myocardial infarction without significant atherosclerosis of the extramural coronary arteries. Am J Cardiol 1979;43:1086-1102.Crossref 6. Mautner RK, Thomas I, Dhurandhar R, et al: Hypertrophic obstructive cardiomyopathy and coronary artery spasm. Chest 1979;76:636-639.Crossref 7. Goldberger AL: Q wave T wave vector discordance in hypertrophic cardiomyopathy: Septal hypertrophy and strain pattern. Br Heart J 1979;42:201-204.Crossref 8. Ferrans VJ, Morrow AG, Roberts WC: Myocardial ultrastruction in idiopathic hypertrophic subaortic stenosis. Circulation 1972;45:769-792.Crossref

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Oct 1, 1982

References