Clin Med
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Hypertrophic cardiomyopalthy can occur at any age, not just in younger patients. An electrocardiogram showing voltage criteria for left ventricular hypertrophy with prominent ST changes and deep T wave inversion should alert the clinician to this possibility Echocardiograpghy will make the diagnosis in the majority of patients.
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To comply with the European Working Time Directive (EWTD), from 1 August 2009, junior doctors are required to work no more than 48 hours per week. In accordance with this, East Sussex Hospitals Trust introduced changes to working practice in August 2007. ⋯ However, there was a notable increase in episodes of sick leave among junior doctors. Implementation of the EWTD may maintain standards of patient care but may be detrimental to the welfare of doctors in training.