Palpitations in a 64-year-old man

Heart. 2014 Jan;100(2):167-8. doi: 10.1136/heartjnl-2013-305096. Epub 2013 Nov 26.

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.

Publication types

  • Case Reports

MeSH terms

  • Amyloidosis / complications*
  • Amyloidosis / diagnosis
  • Atrial Premature Complexes / etiology*
  • Cardiomyopathy, Hypertrophic / diagnosis
  • Cardiomyopathy, Hypertrophic / etiology
  • Echocardiography
  • Electrocardiography
  • Heart Diseases / complications*
  • Heart Diseases / diagnosis
  • Humans
  • Hypertrophy, Left Ventricular / complications*
  • Hypertrophy, Left Ventricular / diagnosis
  • Magnetic Resonance Imaging, Cine
  • Male
  • Middle Aged
  • Myocardium / pathology
  • Ventricular Premature Complexes / etiology*