McGill Case 242

This case report is kindly provided by Michael Rosengarten from McGill and is part of the McGill Cases. These cases come from the McGill EKG World Encyclopedia. Previous Case: McGill Case 241 | Next Case: McGill Case 243

The cardiogram shows sinus rhythm with P waves that are terminally negative in V1 which is suggestive of left atrial abnormality. There is a tall R wave in V5 greater than 30 mm., a deep S wave greater than 30 mm. in V2, and an R wave in lead II greater than 20mm. There are diffuse ST/T wave changes. All of these finding suggest left ventricular hypertrophy. This woman in fact has IHSS.