Abstract
A 20-year-old man presented with progressive exertional dyspnoea. His cardiovascular examination was unremarkable. The electrocardiogram showed sinus rhythm with a dominant R-wave in the early precordial leads and lateral Q-waves ( Panel A ). Laboratory investigation demonstrated elevated creatine kinase with normal Troponin-T levels. Echocardiography was non-diagnostic due to poor echo-windows. Cardiac magnetic resonance imaging showed mild hypokinesis of the …
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