Thick Heart, Wide QRS, Broad Differential

Stacey J. Howell; Babak Nazer

doi:10.1016/j.jaccas.2021.06.021

Thick Heart, Wide QRS, Broad Differential

Stacey J. Howell, Babak Nazer

Knight Cardiovascular Institute

Research output: Contribution to journal › Article › peer-review

Abstract

Routine electrocardiogram in a middle-aged man with left ventricular hypertrophy showed sinus rhythm, a short PR interval, and delta wave, confirming ventricular pre-excitation. Pre-excitation was fixed after a premature atrial complex and in atrial fibrillation, features diagnostic of a fasciculo-ventricular pathway. Genetic testing confirmed a diagnosis of hypertrophic cardiomyopathy. (Level of Difficulty: Intermediate.)

Original language	English (US)
Pages (from-to)	1363-1366
Number of pages	4
Journal	JACC: Case Reports
Volume	3
Issue number	11
DOIs	https://doi.org/10.1016/j.jaccas.2021.06.021
State	Published - Sep 1 2021

Keywords

atrial fibrillation
cardiomyopathy
electrophysiology
genetic disorders
inherited metabolic disorders

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.jaccas.2021.06.021

Cite this

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title = "Thick Heart, Wide QRS, Broad Differential",

abstract = "Routine electrocardiogram in a middle-aged man with left ventricular hypertrophy showed sinus rhythm, a short PR interval, and delta wave, confirming ventricular pre-excitation. Pre-excitation was fixed after a premature atrial complex and in atrial fibrillation, features diagnostic of a fasciculo-ventricular pathway. Genetic testing confirmed a diagnosis of hypertrophic cardiomyopathy. (Level of Difficulty: Intermediate.)",

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AB - Routine electrocardiogram in a middle-aged man with left ventricular hypertrophy showed sinus rhythm, a short PR interval, and delta wave, confirming ventricular pre-excitation. Pre-excitation was fixed after a premature atrial complex and in atrial fibrillation, features diagnostic of a fasciculo-ventricular pathway. Genetic testing confirmed a diagnosis of hypertrophic cardiomyopathy. (Level of Difficulty: Intermediate.)

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KW - cardiomyopathy

KW - electrophysiology

KW - genetic disorders

KW - inherited metabolic disorders

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Thick Heart, Wide QRS, Broad Differential

Abstract

Keywords

ASJC Scopus subject areas

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