Case 15

Diagnosis
Hypertrophic Obstructive Cardiomyopathy (HOCM)
Key Characteristics
•LVH, increased precordial voltages
•Dagger Q waves in lateral and inferior leads
•Left atrial enlargement
Causes
•Dynamic obstruction of LV outflow tract
•Abnormal coronary architecture, arrythmiogenic
•Risk of sudden death
Treatment
•Monitored Bed
•Bedside echo, cardiology consult
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