Inconspicuous yet sinister cause of angina in a young male

Image in Interventional Cardiovascular Medicine: what is displayed on this image? ... and do not hesitate to comment how you would treat this case !

A 41-year-old male was rushed into Emergency care by paramedics for acute onset classical angina after a gym workout. He experienced ongoing chest pain and his presenting ECG was grossly abnormal showing Giant T inversions (Dagger T’s) with down-sloping ST segments.

Urgent angiogram performed was normal and bedside ECHO showed gross LVH but preserved EF. Apical views were not clear.

An image is worth a 1,000 words: participate in the quiz below to tell us what you see in this image!
Inconspicuous yet sinister cause of angina in a young male !

41-year-old male was rushed into Emergency care by paramedics for acute onset classical angina after a gym workout.

Fill out my online form.

Authors

De Vas Goonewardane Nishan1

  1. Harefield Hospital, Uxbridge, UNITED KINGDOM

Join the discussion

1 comment

  • Musna Jamal 24 Apr 2022

    apical hcm, contrast echo showing spade deformity