Publish in this journal
Journal Information
Vol. 68. Issue 2.
Pages 149 (February 2015)
ECG Contest
DOI: 10.1016/j.rec.2014.06.028
Full text access
ECG, February 2015
ECG de febrero de 2015
Tom??s Ripoll Vera
Servicio de Cardiolog??a, Hospital Son Ll??tzer, Instituto de Investigaci??n Sanitaria de Palma (IdISPa), Palma de Mallorca, Balearic Islands, Spain
Related content
Rev Esp Cardiol. 2015;68:25310.1016/j.rec.2014.06.029
Tomás Ripoll Vera
This item has received
(Daily data update)
Article information
Full Text
Download PDF
Figures (2)
Full Text

This case concerns a 62-year-old woman, who had been hypertensive since the age of 49 years. Her parents had died suddenly in odd circumstances: her father, at the age of 45 years, possibly due to stroke and her mother at the age of 50 years, with a “big” heart. In 2004, the patient was assessed for exertional dyspnea and a murmur; electrocardiography (Figure 1), echocardiography, and stress testing were performed, with no pathological findings.

Figure 1

In 2013, she was referred for dyspnea (functional class III/IV), and had a rough-sounding, grade III/VI parasternal systolic murmur that increased with the Valsalva maneuver. Electrocardiography (Figure 2) and echocardiography showed mild concentric left ventricular hypertrophy and moderate-severe (16 mm) basal septal hypertrophy, with preserved function and no intraventricular obstruction. Stress testing, which had to be suspended because of dyspnea, reached 6.8 MET and was negative for ischemia; blood pressure response was normal.

Figure 2

Suggest a solution to this ECG Contest at (only Spanish). The answer will be published in the next issue (March 2015). #ECG-RETO.

Copyright © 2014. Sociedad Española de Cardiología
Revista Española de Cardiología (English Edition)

Subscribe to our newsletter

Article options
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.