Apical Hypertrophic Cardiomyopathy masquerading as non-ST segment Elevation Acute Coronary Syndrome (NSTE-ACS) in a middle-aged woman
Year: 2025
Type: article
Study design: Case Report
Abstract: A rare form of hypertrophic cardiomyopathy known as apical hypertrophic cardiomyopathy (AHCM) is characterized by a spade-like left ventricular cavity. We present a 49-year-old female with past medical history of hypertension who presented with light-headedness, palpitations and 2 episodes transient loss of consciousness. Electrocardiogram (EKG) showed characteristic marked T-waves inversions in precordial leads and non-sustained ventricular tachycardia. Cardiac troponins were elevated and was initially managed as a case of non-ST segment elevated myocardial infarction. Echocardiography done after initial resuscitation showed left ventricle apical hypertrophy with spade like left ventricular cavity that was typical of Yamaguchi syndrome. This case demonstrates the disease's difficult diagnostic and presentational characteristics, as well as its uncommon occurrence among Africans.
Source: Nigerian Stethoscope
Author: Ojo, E.O
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7220543441