HOCM, Apical. Patient. 84 year old female known to have apical HOCM. She was admitted for chest pain. MI was ruled out. Echocardiographic study showed pattern of apical cardiomyopathy. ECG has not change since 1995. Characteristic ECG change of apical HOCM is the "Giant T wave inversion" in precordial leads associates ST elevation. Other finding may include LVH pattern.
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