Why the study?
Apical hypertrophic cardiomyopathy represents a unique variant of hypertrophic cardiomyopathy with distinct clinical presentation, genetics, treatment, complications, and outcome.
Answers are grounded in this paper and cite their sources.
Apical hypertrophic cardiomyopathy is a distinct morphological variant of hypertrophic cardiomyopathy characterized by giant T-wave inversions and an 'Ace of Spades' left ventricular configuration, typically carrying a benign prognosis.
Introduction: Apical Hypertrophic Cardiomyopathy (AHCM) is a unique variant with distinct clinical presentation, genetics, treatment, complications and outcome. Case: A 52 year non-hypertensive Asian male presented with exertional shortness of breath for two years without chest pain, palpitation or syncope. The apex beat was heaving. Electrocardiogram revealed non q wave deep symmetrical T wave inversion in anterolateral leads and echocardiography demonstrated hypertrophied apical septum. Coronary angiogram showed normal coronaries with typical “Ace of Spade” configuration during ventriculography. Conclusion: Characterization of various forms of hypertrophic cardiomyopathy is essential for management purpose as apical hypertrophic cardiomyopathy usually have benign course.
No takes yet. Share an insight, caveat, or question.
Adhikaree et al. (2020) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: