Key result
Non-obstructive apical hypertrophic cardiomyopathy can progress to mid-ventricular obstruction, apical infarction, and aneurysm formation with heart failure and ventricular tachycardia.
This case highlights a rare presentation of hypertrophic cardiomyopathy with mid-ventricular obstruction leading to apical infarction and aneurysm formation despite normal coronary arteries.
Serial monitoring warranted in apical HCM; hypothesis-generating case leaves open predictors of progression.
A 65 year old woman, who was diagnosed with non-obstructive apical hypertrophic cardiomyopathy 10 years ago, presented with heart failure symptoms and incessant ventricular tachycardia despite amiodarone therapy. Coronary angiogram showed normal coronary arteries. Supplemental material showing the left ventriculography (right …
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Kuo-Sheng Fan (2005) studied this question. Non-obstructive apical hypertrophic cardiomyopathy can progress to mid-ventricular obstruction, apical infarction, and aneurysm formation with heart failure and ventricular tachycardia.
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