Anorexia, seizures, and ST-T abnormalities in a morbidly obese 21-year-old man with the Down syndrome

Robert W. Greer, MD, Mustafa Hatipoglu, MD, and D. Luke Glancy, MD

A morbidly obese 21-year-old man presented to the emergency department complaining of lack of appetite for 2 to 3 weeks, and his sister told of the patient's having brief episodes of loss of consciousness accompanied by jerking movements. An electrocardiogram was recorded. The electrocardiogram shows sinus rhythm, delayed precordial R-wave progression, inverted T waves in lead I, and low to flat T waves in all of the precordial leads.