APICAL HYPERTROPHY ASSOCIATED WITH RAPID T-WAVE INVERSION ON THE ELECTROCARDIOGRAM

A 53-year-old man who had no chest pain and no family history of heart disease demonstrated a rapid T wave change on an electrocardiogram, f rom a positive T wave to a giant negative T wave, within 1 year. Echoc ardiography showed no left ventricular hypertrophy before or after the T wave change. Cine-magnetic resonance imaging revealed focal apical hypertrophy after the appearance of the giant negative T wave. Althoug h T wave inversions sometimes develop within a short period in patient s with hypertrophic cardiomyopathy, they are rare in a patient without hypertension or chest pain.