Key result
Apical hypertrophic cardiomyopathy was diagnosed in an asymptomatic 54-year-old male in India, demonstrating typical giant T wave inversion on ECG and a spade-shaped left ventricular cavity on echo.
Case Report (n=1)
No
This case report details the electrocardiographic and echocardiographic features of apical hypertrophic cardiomyopathy in an asymptomatic Indian patient.
Supports awareness of apical HCM in asymptomatic Indian patients; extends sparse regional reports but leaves open need for prevalence studies.
Apical hypertrophic cardiomyopathy (apical HCM) is a rare variant of hypertrophic cardiomyopathy with a prevalence of 1% - 2% in Asian population and carries a benign prognosis. It is usually silent in early stages and manifests in adults with a suspicion of typical ECG changes of giant T wave inversion in left precordial leads. Transthoracic echocardiography is the mainstay of non-invasive diagnosis and provides a heterogeneous appearance of its morphological features with a spade-shaped LV (left ventricular) cavity. Background of this case study describes the apical HCM in an asymptomatic male at the age of 54 years old and also predicts the mixed and mid-ventricular forms of left ventricular HCM at this region of Thoothukudi in India.
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Ramachandran Muthiah (2016) conducted a case report in Apical hypertrophic cardiomyopathy (n=1). Apical hypertrophic cardiomyopathy was diagnosed in an asymptomatic 54-year-old male in India, demonstrating typical giant T wave inversion on ECG and a spade-shaped left ventricular cavity on echo.
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