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An 18-year-old male presents with chest pain with coughing for one day. The patient has no known medical history.

View the ECG captured above and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.

Initial ECG - hypertrophic cardiomyopathy
Figure 1: Initial ECG
Case presented by John McCarthy, MD, PGY3 resident at UTHealth Houston.
18-Year-Old With Chest Pain