High-Risk Apical Hypertrophic Cardiomyopathy Requiring an Implantable Cardioverter-Defibrillator: A Case Report of an Overlooked Etiology

Apical hypertrophic cardiomyopathy is a rare variant of characterized by abnormal heart muscle thickening, specifically affecting the left ventricle's apex. Classically revealing both giant T-wave inversions in precordial leads an electrocardiogram and spade-like configuration ventricular cavity on ventriculograms, diagnosis apical has evolved with cardiac magnetic resonance imaging. Despite being well known among East Asian populations, often underestimated overlooked American patients due to non-specific nature echocardiography. In this case report, we present middle-aged African male chronic palpitations. The was confirmed using imaging, which revealed extensive myocardial fibrosis. Ultimately, patient treated implantable cardioverter-defibrillator. Our aims enhance understanding facilitate recognition management cardiomyopathy, particularly non-Asian individuals. Current challenges revolve around robust risk stratification strategies for at high sudden death that require device therapy.