ECG of the Month: 49-Year-Old Male Presents with Progressive Shortness of Breath, Postural Syncope, and Palpitations
A 49-year-old previously healthy man presents to a hospital with progressive shortness of breath, postural syncope, and palpitations. An echocardiogram reveals severe global left ventricular hypertrophy (Figure 1). Physical examination is remarkable for periorbital purpura, orthostatic hypotension, and signs of heart failure including elevated jugular venous pressure, rales over both lung bases and peripheral pitting edema. His echocardiogram and electrocardiogram (ECG) are shown (Figures 1 and 2). Amlodipine, lisinopril and diuretics are initiated for a presumed diagnosis of hypertensive cardiomyopathy.
Based on the clinical presentation and objective data, which of the following is correct?