Asymptomatic Apical Hypertrophic Cardiomyopathy: Case Report and Review of Literature

Apical hypertrophic cardiomyopathy (AHCM) is a known entity since its first introduction by Sakamoto and Yamaguchi. However, unlike classical (HCM), it less explored in terms of associated diagnosis long-term outcomes. Given the increased availability utilization ultra-sophisticated cardiac imaging modalities, AHCM will be increasingly recognized as distinct, clinically significant variant HCM. It with wide spectrum presentation ranging from asymptomatic course incidental findings on to rarely being ventricular arrhythmias, syncope sudden death (SCD). Contrast echocardiography most effective diagnostic study when performed right setting high suspicion clinical typical electrocardiogram (ECG) findings. Cardiac magnetic resonance (CMR) has an equal yield contrast echocardiogram. We are presenting unique case report 57-year old gentleman which was distinctly delineated after utilizing tuned (CnTI) sans administration intravenous agents. This portrayed this ingenious technology.
 Keywords: Hypertrophic Cardiomyopathy, LV Echocardiography, Tuned Imaging, 4Dimensional XStrain Echocardiography.