Cardiomyopathy electrocardiogram

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Lina Ya’qoub, MD; Edzel Lorraine Co, DMD, MD[2]

Careful reading and assessment of EKG is of paramount importance regarding ischemic changes (ST depression/elevation, T wave inversions) in a certain vascular territory with reciprocal changes in the opposite leads, arrhythmia and conduction abnormalities, and left ventricular hypertrophy which is indicative of HCM in the absence of hypertension and aortic stenosis.

Careful reading and assessment of EKG are of paramount importance:^[1]

• Look specifically for ischemic changes (ST depression/elevation, T wave inversions) in a certain vascular territory with reciprocal changes in the opposite leads.
• Look for arrhythmia and conduction abnormalities
• Look for signs of left ventricular hypertrophy which are indicative of HCM in the absence of hypertension and aortic stenosis.

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