A 72-year-old male with recurrent syncope. Issue 10 (21st December 2016)

• Record Type: Journal Article
• Authors: Perera, Dhanuka; Uppal, Rakesh; Hogan, John
• Other Names: Encarnacion Delfin author non-byline.
• Is Part Of: Heart. Volume 103:Issue 10(2017)
• Page Start: 800
• Page End: 800
• Publication Date: 2016-12-21
• Subjects: Heart -- Diseases -- Treatment -- Periodicals; Cardiology -- Periodicals; 616.12
• DOI: 10.1136/heartjnl-2016-309670
• Languages: English
• ISSNs: 1355-6037

Abstract

Abstract : Clinical introduction: A 72-year-old patient presented with recurrent syncope 1 year after a myocardial infarction. Two recent falls resulted in fractures to the femur. Serial troponins were negative and ECG demonstrated fixed inferior ST-segment elevation and pathological Q waves. A Holter monitor recorded non-sustained ventricular tachycardia. A subsequent echocardiogram was abnormal, and further investigation with a three-dimensional (3D) cardiac CT coronary angiogram was performed (figure 1 ). Question: What is the most likely diagnosis? Cardiac tumour Hypertrophic obstructive cardiomyopathy Ventricular aneurysm Ventricular diverticulum