LVH with Right Axis Deviation
Report:
Sinus rhythm 86/min
Right axis deviation +105o
Left atrial abnormality
Left ventricular hypertrophy with ST/T changes
Probable biventricular hypertrophy
Comment:
The unusual combination of LVH (RV6 > RV5, LAA and typical repolarisation changes) with RAD suggests biventricular hypertrophy, especially HOCM. In this case it was post-transplant COCM.
30. Obese 28 year old lady with Down syndrome, in CCU for unstable blood pressure
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