Continuous prolonged generalized weakness, lightheadedness, and presyncope. What might you suspect from the ECG?
Dr. Smith's ECG Blog
OCTOBER 28, 2023
A young man presented with continuous prolonged generalized weakness, lightheadedness, and presyncope. There was some dyspnea but no chest pain. Here is his ECG. This shows LVH, with high voltage. LVH can have very thick-walled ventricles and a correspondingly small LV cavity. LVH is a common etiology of heart failure with preserved ejection fraction, as it may results in a stiff ventricle with poor diastolic relaxation.
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