Housecalls hero

Fall 2019 Puzzler
October  2019

A 44-year-old male applies for insurance. He has no adverse cardiac history personally or in his family. He has no cardiovascular risk factors except a slightly elevated total cholesterol at 6
mmol/L with LDL at 3.11 mmol/L but HDL at 1.41 mmol/L and total/HDL ratio at 4.3.

A recent stress test was reported as normal. An echocardiogram was normal, and his CT calcium score was 0. His ECG is shown here.