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Loperamide Toxicity Revealing Apical Hypertrophic Cardiomyopathy Cover

Loperamide Toxicity Revealing Apical Hypertrophic Cardiomyopathy

Open Access
|Jan 2021

Figures & Tables

Figure 1.

A 12-lead electrocardiogram showing giant, inverted T waves (> 10 mm) in V4-V6 and QT interval prolongation (QTc = 506 ms)

Figure 2.

Cardiac magnetic resonance imaging demonstrating localized apical hypertrophy and the “ace of spades” sign at end-diastole (arrow). Maximum left ventricular (LV) wall thickness is 19 mm in the anteroseptal segment. Focal late gadolinium enhancement is seen in the apical, septal, and basolateral walls with total scar burden involving 6% of LV mass.

Figure 3.

A 12-lead electrocardiogram showed a corrected QT interval measuring 463 ms and the same inverted T-waves in the anterolateral leads.

DOI: https://doi.org/10.14797/VRZW9460 | Journal eISSN: 1947-6108
Language: English
Page range: 65 - 67
Published on: Jan 1, 2021
Published by: Houston Methodist DeBakey Heart & Vascular Center
In partnership with: Paradigm Publishing Services

© 2021 Najah Khan, Kalyan R Chitturi, Courtney Hatcher, Marietta Clewing, Sherif F Nagueh, published by Houston Methodist DeBakey Heart & Vascular Center
This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 License.