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Pseudo-Preexcitation Mimics Right Antero-Septal Accessory Pathway in Hypertrophic Cardiomyopathy

摘要


Hypertrophic cardiomyopathy (HCM) is not uncommon in clinical practices. Various electrocardiographic abnormalities have been noted in patients with HCM, such as anterolateral and inferior pseudo Q waves or apical giant inverted T wave. Patterns of ventricular preexcitation including the Wolff-Parkinson-White have been reported in patients with HCM, especially in certain congenital glycogen storage diseases. Here, we describe a male HCM patient whose twelve-lead electrocardiogram showed short PR interval and wide QRS suggesting ventricular preexcitation. However, after detailed electrophysiological study, pseudo ventricular preexcitation with normal atrioventricular nodal conduction was diagnosed.

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