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Case Reports
. 2017 Oct;8(5):265-268.
doi: 10.14740/cr619w. Epub 2017 Oct 27.

Apical Hypertrophic Cardiomyopathy: A Case Report

Ashraf Abugroun  1 , Fatima Ahmed  1 , Daniel Vilchez  1 , Lalita Turaga  1
Affiliations
Case Reports

Apical Hypertrophic Cardiomyopathy: A Case Report

Ashraf Abugroun et al. Cardiol Res. 2017 Oct.

Abstract

Apical hypertrophic cardiomyopathy (ApHCM) is a rare variant of hypertrophic cardiomyopathy, characterized by a spade-like left ventricular cavity. A 58-year-old African-American female with past medical history of hypertension presented for evaluation of recurrent exertional chest tightness, palpitations and headache. Prior workup including multiple stress tests and angiogram was non-conclusive. Electrocardiogram (EKG) showed characteristic marked T-waves inversions in inferior leads and left ventriculography revealed left ventricle apical hypertrophy with spade like left ventricular cavity that was typical of Yamaguchi syndrome. This case highlights the rare incidence of the disease among African American as well as the challenging diagnostic and presentation features of the disease.

Keywords: African American; Apical hypertrophic cardiomyopathy; Coronary angiography; Ventriculography; Yamaguchi syndrome.

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Figures

Figure 1
Figure 1
EKG shows normal sinus rhythm, left ventricle hypertrophy and marked T-wave inversions in leads II, III and aVF.
Figure 2
Figure 2
Left ventriculography revealed left ventricle apical hypertrophy with spade-like left ventricular cavity during systole (a) and diastole (b).
See this image and copyright information in PMC

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