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This case report highlights the diagnostic features and management principles of apical hypertrophic cardiomyopathy, emphasizing the importance of adequate hydration and cautious diuretic use.
Apical hypertrophic cardiomyopathy (AHC) is a less common type of hypertrophic cardiomyopathy (HCM). It is characterized by typical changes in ECG (deeply inverted T waves that can mimic acute coronary syndrome), echocardiography (hypertrophy of apical segments) and ventriculography (spade-like shaped left ventricular cavity). Magnetic resonance is considered as a reference method for AHC diagnosis. We present a long follow-up period of a patient with this form of HCM. The management of patients with HCM is directed at decreasing left ventricle outflow tract narrowing (if present), decreasing of intraventricular gradient (if present), heart failure treatment and prevention of sudden cardiac death. In general treatment adequate hydration is essential and diuretics should be used with caution to prevent the increase of intraventricular gradient.
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Bugała et al. (2016) studied this question.
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