Apical Hypertrophic Cardiomyopathy - Masquerade of Acute Coronary Syndrome

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Apical hypertrophic cardiomyopathy mimicking acute coronary syndrome.

We present a case who was initially thought to have an acute coronary syndrome but who was later diagnosed to have an apical hypertrophic cardiomyopathy. Interestingly, the diagnosis could be established with left heart catheterization, not echocardiography.

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A 72-year-old female patient with a history of hypertension was admitted to the hospital with suspicion of non-ST-segment elevation acute coronary syndrome. On ECG, left ventricle hypertrophy and negative T waves in V2–V6 were present. Levels of cardiac enzymes were markedly increased with troponin (Tn) I at admission 2.06 μg/l and with a subsequent drop to values of 0.99 μg/l and 0.71 μg/l. Re...

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DIFFUSE CORONARY ARTERIAL ECTASIA WITH HYPERTROPHIC CARDIOMYOPATHY

A 40 year old male, a known case of hypertrophic cardiomyopathy, was admitted for catheterization. At catheterization and angiography, septum was hypertrophied to about 5cm and diffuse coronary artery aneurysm was revealed. We found no previous report of coronary artery aneurysm in hypertrophic cardiomyopathy.

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Apical Hypertrophic Cardiomyopathy Presenting Mimicking Acute Coronary Syndrome at an Advanced Age

At the emergency room, advanced ages with chest pain and ST-T changes in the electrocardiogram (ECG) could be easily considered as acute coronary syndrome (ACS) and transferred to catheterization laboratory for urgent coronary angiogram (CAG). In our case, these patients were finally diagnosed as apical hypertrophic cardiomyopathy (AHCM) after urgent CAG subsequent to echocardiogram. AHCM is co...

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All That Glitters is not Gold: Apical Hypertrophic Cardiomyopathy Mimicking Acute Coronary Syndrome

Hypertrophic cardiomyopathy is characterized by the idiopathic hypertrophy of the left ventricle (and occasionally right ventricle). HCM is an autosomal dominant disease, with variable penetration. In Asian population, apical hypertrophic cardiomyopathy is relatively common (25%). However, this is relatively rare in Caucasian population (0.2%). Patients with HCM, often presents with typical exe...

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ژورنال

عنوان ژورنال: Journal of Cardiovascular Diseases & Diagnosis

سال: 2016

ISSN: 2329-9517

DOI: 10.4172/2329-9517.1000236