A 69-year-old woman with extended negative T wave

Abstract

Clinical IntroductionA 69-year-old woman with hypertension and dyslipidemia developed sudden onset of substernal chest pain at night and was admitted to our hospital the following day. A 12-lead and 18-lead ECG (Nihon Kohden, Japan) was done (figure 1A,B).emermed;emermed-2019-208715v1/F1F1F1Figure 1(A) Twelve-lead ECG. (B) Eighteen-lead ECG. QUESTION: Which is the most likely diagnosis?Reperfused anterior acute myocardial infarctionTakotsubo (stressed) cardiomyopathyPericarditisApical hypertrophic cardiomyopathyFor answer see page 2.