Key result
A 53-year-old male athlete presenting with acute dyspnea and pulmonary edema was diagnosed with previously unrecognized hypertrophic obstructive cardiomyopathy, highlighting that HOCM can present later in life.
Why the study?
HOCM is typically diagnosed in adolescents, making late presentation in an active adult athlete unique.
Case Report (n=1)
No
Highlights the rare late presentation of hypertrophic obstructive cardiomyopathy in an active adult athlete.
Consider HOCM in middle-aged athletes with acute pulmonary edema; this case leaves open the prevalence of late presentations.
Hypertrophic obstructive cardiomyopathy (HOCM) is a genetic condition most commonly characterized by hypertrophy of the ventricular septum, which leads to left ventricle outflow obstruction. Due to the severity of the condition, it is often diagnosed in adolescents, especially in those who exercise. We describe the case of a 53-year-old male, previously undiagnosed with hypertrophic cardiomyopathy (HCM), who became dyspneic during a bike race. He was found to have elevated troponin, pulmonary edema, and was diagnosed with HOCM. The late presentation of the case, in an active individual, makes the situation unique.
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Minckler et al. (2019) conducted a case report in Hypertrophic obstructive cardiomyopathy (n=1). Medical management was evaluated. A 53-year-old male athlete presenting with acute dyspnea and pulmonary edema was diagnosed with previously unrecognized hypertrophic obstructive cardiomyopathy, highlighting that HOCM can present later in life.
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