Key result
A patient with apical hypertrophic cardiomyopathy and initially intact coronary arteries developed coronary lesions requiring stenting over a 6-year follow-up.
Case Report (n=1)
Comorbid coronary heart disease can develop in older patients with apical hypertrophic cardiomyopathy, complicating the clinical picture and highlighting the importance of differential diagnosis.
Case underscores diagnostic pitfalls in apical HCM with angina; leaves open CAD progression risk in long-term HCM follow-up.
A clinical case presented, of 6-year follow-up of a patient with apical hypertrophic cardiomyopathy (HCMP) and angina syndrome. The challenges discussed, of differential diagnostics of HCMP and coronary heart disease (CHD) in patient with angina and repolarization disorder on ECG. Specifics of the case presented, was hyperdiagnostics of CHD at the onset of clinical presentation, and intact coronary arteries. In 6 years of follow-up this patient developed coronary lesions required the stenting of left anterior descending artery. Comorbid CHD in older age with apical CHD worsened clinical picture and underlined the issue of comorbidity in CHD and HCMP.
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Kovalevskaya et al. (2018) conducted a case report in Apical hypertrophic cardiomyopathy and coronary heart disease (n=1). A patient with apical hypertrophic cardiomyopathy and initially intact coronary arteries developed coronary lesions requiring stenting over a 6-year follow-up.
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