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A 69-year-old woman with extended negative T wave
  1. Keiji Matsunaga,
  2. Takahisa Noma,
  3. Tetsuo Minamino
  1. Cardiorenal and Cerebrovascular Medicine, Faculty of Medicine Kagawa University, Kida-gun, Kagawa, Japan
  1. Correspondence to Dr Tetsuo Minamino, Cardiorenal and Cerebrovascular Medicine, Kagawa University, Kida-gun, Kagawa, Japan; minamino{at}med.kagawa-u.ac.jp

Abstract

Clinical Introduction A 69-year-old woman with hypertension and dyslipidemia developed sudden onset of substernal chest pain at night and was admitted to our hospital the following day. A 12-lead and 18-lead ECG (Nihon Kohden, Japan) was done (figure 1A,B).

Figure 1

(A) Twelve-lead ECG. (B) Eighteen-lead ECG.

Which is the most likely diagnosis?

  1. Reperfused anterior acute myocardial infarction

  2. Takotsubo (stressed) cardiomyopathy

  3. Pericarditis

  4. Apical hypertrophic cardiomyopathy

Which is the most likely diagnosis?For answer see page 2.

  • ECG
  • cardiac care, diagnosis
  • cardiac care, acute coronary syndrome
  • ECG, methods

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Footnotes

  • Contributors All authors have contributed to the conception of the paper and the interpretation of the data.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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