PATRICK LEE ERGINA, M.D., M.P.H.; OSAMU FUKUYAMA, M.D.
To the editor: Louie and Maron's series from the National Institutes of Health (1) involving mostly white patients showed that only 17% had apical hypertrophic cardiomyopathy associated with "giant negative T waves" and none had a "spade-like" configuration on a left ventriculogram. In Keren's series involving Israeli Jews of European descent (2), apical hypertrophic cardiomyopathy was associated with "giant negative T waves" and in 21%, cardiac catherization in some of the patients showed a "spade-like" pattern in only one. There is probably a distinct clinical and morphologic form of this disease that is associated with "giant negative T
ERGINA PL, FUKUYAMA O. Apical Hypertrophic Cardiomyopathy in Hawaii. Ann Intern Med. ;107:423–424. doi: 10.7326/0003-4819-107-2-423
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Published: Ann Intern Med. 1987;107(3):423-424.
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