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| HOCM, Apical. |
| Patient. 78 year old female known to have apical HOCM. This ECG was done in 1995. Compare to ECG of 2002 |
| Characteristic ECG change of apical HOCM is the "Giant T wave inversion" in precordial leads associates ST elevation. Other finding may include LVH pattern. Not all the apical HOCM has this pattern. |
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