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Related Experiment Video

Updated: Feb 13, 2026

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Left ventricular hypertrophy diagnosed after a stroke: a case report.

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Summary

Stroke can unmask left ventricular hypertrophy, a key indicator of apical hypertrophic cardiomyopathy. This case highlights electrocardiogram changes appearing days after a stroke, emphasizing the need for differential diagnosis in hypertrophic cardiomyopathy.

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ElectrocardiogramLeft ventricular hypertrophyStroke

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Area of Science:

  • Cardiology
  • Neurology
  • Medical Imaging

Background:

  • Stroke is a known complication of hypertrophic cardiomyopathy.
  • This case presents a unique electrocardiogram (ECG) evolution in a patient with hypertrophic cardiomyopathy.

Observation:

  • An 83-year-old woman with atrial fibrillation and hypertension experienced a stroke.
  • Post-stroke ECG revealed marked left ventricular hypertrophy (LVH) with apical hypertrophic cardiomyopathy, not present pre-stroke.
  • Cardiovascular magnetic resonance imaging confirmed apical hypertrophic cardiomyopathy.

Findings:

  • ECG diagnosis of LVH using Sokolow-Lyon indices was crucial.
  • LVH manifested days after the stroke, with unclear underlying mechanisms.
  • Apical hypertrophic cardiomyopathy was diagnosed based on ECG and imaging findings.

Implications:

  • Consider hypertrophic cardiomyopathy in patients with ECG criteria for LVH.
  • Cardiovascular magnetic resonance imaging is vital for diagnosing LVH causes.
  • Family screening is recommended for new hypertrophic cardiomyopathy diagnoses.