case_images: PMC6222212_01
case_images: Initial EKG showing normal sinus cardiac rhythm with a left bundle branch block, possible left ventricular hypertrophy, and T wave inversions in the lateral leads. No ST segment changes were noted.
case_images: CRIC2018-7089149.001.jpg
case_images: PMC6222212_01_CRIC2018-7089149.001.jpg
case_images: fig1
case_images: No ST segment changes were noted (Figure 1).
case_images: Follow-up EKG showing no changes compared to the first EKG.
case_images: CRIC2018-7089149.002.jpg
case_images: PMC6222212_01_CRIC2018-7089149.002.jpg
case_images: fig2
case_images: The patient continued to be asymptomatic during this time, and a follow-up EKG showed no changes compared to the first EKG (Figure 2).
case_images: Coronary angiogram showing normal left main, left anterior descending, left circumflex, and right coronary arteries with no stenotic or occluding lesions.
case_images: CRIC2018-7089149.003.jpg
case_images: PMC6222212_01_CRIC2018-7089149.003.jpg
case_images: fig3
case_images: The patient subsequently underwent a coronary angiogram the next day through right femoral artery access which showed normal left main, left anterior descending, left circumflex, and right coronary arteries with no stenotic or occluding lesions (Figure 3).
case_images: Cardiac left ventriculogram done by cardiac chamber catheterization confirming the echocardiographic finding of apical hypertrophy.
case_images: CRIC2018-7089149.004.jpg
case_images: PMC6222212_01_CRIC2018-7089149.004.jpg
case_images: fig4
case_images: A cardiac left ventriculogram was done by cardiac chamber catheterization during the procedure, which confirmed the echocardiographic finding of apical hypertrophy (Figure 4).