Acute chest pain and massive LV hypertrophy in a 38-year-old man
نویسندگان
چکیده
CASE—PART I A previously healthy 38-year-old man with no history of cardiovascular disease presented with symptoms of upper respiratory tract infection, acute chest pain, inferior ST-elevation on ECG and a troponin I >60 μg/L (normal <0.04 μg/L). Emergency coronary angiography demonstrated normal coronary arteries. Echocardiogram showed moderate impairment of LV systolic function, inferoposterior wall hypokinesis and severe concentric LV hypertrophy (septum up to 22 mm) with a speckled appearance. A cardiovascular MR (CMR) study was requested to further evaluate the cause of LV hypertrophy (figure 1). Based on these CMR images (and online supplementary video), the most likely diagnosis is: A. Hypertrophic cardiomyopathy (HCM) B. Acute myocarditis C. Cardiac amyloidosis D. Anderson–Fabry disease E. Athlete’s heart
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