PMC5067459_01
Resting 12 lead electrocardiogram showing RBBB with generalized T wave inversion and ventricular bigeminy.
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T wave inversion with frequent ventricular premature complexes (VPCs)/ventricular bigeminy (Fig. 1). The cardiac enzymes and chest X-ray were normal.
Holter strip showing ventricular run.
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Holter monitoring was done, which recorded frequent unifocal VPCs with episodes of ventricular runs (Maximum one lasted for 16 s) having all negative QRS concordance morphology (Fig. 2), which were managed with antiarrhythmic medication (Amiadarone).
Transthoracic echocardiogram showed apical hypertrophy of left ventricle; lateral wall hypertrophy more than apical septum; Classical "ace of spades sign"
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