Chayan Kumar SinghaBangabandhu Sheikh Mujib Medical University, Bangladesh
Title: Co-relation of triple T in ECG with the echocardiographic morphology of left ventricle in patient diagnosed as Ischemic Heart Disease
Objective: The study aimed at the careful evaluation of ECG, particularly of triple T with the echocardiographic morphology of Lthe eft Ventricle in patents diagnosed with ischemic heart disease (IHD).
Methods: In this cross-sectional study 50 patients were enrolled. Most of the patients had atypical chest pain and only 2 had typical ischemic chest pain. In addition, 10 patients had exertional dyspnea and 5 patients had acute breathlessness. Initial ECG revealed T inversion in anterior-inferior leads and upright T wave in the lead aVR. All patients were initially diagnosed as IHD & in echocardiography of 45 patients had normal findings & 5 had concentric left ventricular hypertrophy. Hypertension (HTN) was the common comorbidity and was seen among 35 patients. All patients were undergone coronary angiogram (CAG) but CAG was normal in 45 patients and 5 patients had noncritical coronary artery disease (CAD). The final evaluation of all patients is done by taking repeat history, doing ECG & transthoracic echocardiography and trying to find out any gap in this regard.
Results: Among 30 patients, males (85%) were more than females (15%) with mean age 56 ± 3 years. Repeat ECG showed the same as the previous but echocardiography revealed a surprising result. The findings were that everybody was diagnosed with HCM. About two-thirds, 34) of them had apical HCM where one-fifth (10) had lateral wall hypertrophy and less than one-fifth (6) had septal HCM. The average time from initial symptoms to final diagnosis was around 3 years.
Conclusion: To diagnose the appropriate disease in the early time, to the prevention of its complications and avoidance of unnecessary investigations we should be very careful regarding looking at ECG particularly triple T & try to give more emphasis to diagnosing HCM by every effort.
Keywords: Triple T in ECG, Hypertrophic cardiomyopathy, Echocardiography, Coronary Angiogram
Dr. Chayan Singha, Mark completed his fellowship in Medicine in 2013 & MD cardiology in 2017. Currently he is working as a Cardiologist & Medicine specialist in the dept. of cardiology in BSMMU, Dhaka, Bangladesh. He has over 100 publications. He has been serving as aco-editorial board member of several reputed journals in Bangladesh.