Bizarre ST elevation

We have read the case report with great interest (1). We have some comments regarding the electrocardiography ST elevation pattern presented in the report. We have a little suspicion about an alternate diagnosis. There are near-identical electrocardiography samples in different case reports with the diagnosis of hypertrophic cardiomyopathy (2, 3). Presence of notching at precordial lead V3 may support anterolateral or apical hypertrophic cardiomyopathy. Further, presence of fibrosis at apical or anterolateral hypertrophic cardiomyopathy on cardiac magnetic resonance imaging (MRI) is consistent with notching at lead V3 (4). In this case, authors did not mention about cardiac MRI. If they performed cardiac MRI in this patient, results may suggest apical or anterolateral hypertrophic cardiomyopathy