Apical hypertrophic cardiomyopathy (HCM) is a relatively rare form of HCM, in which the hypertrophy of myocardium predominantly involves the apex of the left ventricle. The typical features of Apical HCM, first described by Sakamoto and Yamaguchi and their associates, consist of giant T wave negativity in the electrocardiogram and a “spade-like” configuration of the LV cavity at end-diastole on left ventriculography. Apical HCM generally has a more benign course compared to other variants HCM.Although the best tool for diagnosis of HCM is transthoracic echocardiography (TTE) apical type of HCM may be occasionally overlooked during routine examination. We present a 38 years old male with HCM who was referred from the out center with the preliminary diagnosis of acute coronary syndrome but indeed he had HCM and in whom HCM was overlooked during TTE examination.
Key Words: Apical Hypertrophic Cardiomyopathy; Echocardiography; Acute Coronary Syndrome.
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