Key result
Apical HCM can present with complete systolic obstruction and a holodiastolic intraventricular pressure gradient.
This case report highlights a rare presentation of apical hypertrophic cardiomyopathy featuring both complete systolic obstruction and a holodiastolic intraventricular pressure gradient.
May prompt recognition of rare hemodynamics in apical HCM; leaves open questions on prevalence and management.
Patients with hypertrophic cardiomyopathy and additional diastolic flow abnormalities are relatively rare. This report describes a case of apical ventricular hypertrophy with complete systolic obstruction and holodiastolic intraventricular pressure gradient.
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Keller et al. (1993) studied this question. Hypertrophic cardiomyopathy with apical hypertrophy can present with complete systolic obstruction and a holodiastolic intraventricular pressure gradient.
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