Key result
Multimodality imaging identifies non-obstructive HCM as the cause of pseudo-anterior STEMI, preventing unnecessary revascularization.
Case Report (n=1)
This case highlights the diagnostic value of multimodality imaging in differentiating true myocardial infarction from phenocopies like hypertrophic cardiomyopathy, thereby preventing unnecessary long-term antiplatelet therapy.
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May warrant OCT in STEMI presentations with normal coronaries; leaves open optimal management for MINOCA.
Lekwa et al. (2025) conducted a case report in Hypertrophic cardiomyopathy (n=1). Multimodality cardiac imaging was evaluated. Multimodality imaging successfully identified non-obstructive hypertrophic cardiomyopathy as the cause of pseudo-anterior STEMI in a 43-year-old man, preventing unnecessary revascularization.
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