Key result
Apical HCM mimics ACS in a 35-year-old successfully managed with medical therapy.
Why the study?
Apical hypertrophic cardiomyopathy is a rare subtype often misdiagnosed or diagnosed late due to its symptom overlap with acute coronary syndrome and physician unfamiliarity.
Case Report (n=1)
Supports considering apical hypertrophic cardiomyopathy in differentials for ACS-mimicking chest pain in young adults; hypothesis-generating and requires prospective validation.
Apical hypertrophic cardiomyopathy is a relatively rare subtype of hypertrophic cardiomyopathy with a wide range of clinical manifestation. The most frequent symptom is chest pain and thus it can mimic the acute coronary syndrome and due to unfamiliarity of this condition by some physicians, the diagnosis is frequently missed or delayed. In this case, report our purpose is to emphasize the importance of keeping apical hypertrophic cardiomyopathy as one of the differential diagnoses in a young patient presented with chest pain.
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Ruhela et al. (2022) conducted a case report in Yamaguchi syndrome (apical hypertrophic cardiomyopathy) (n=1). Bisoprolol and Ramipril was evaluated. A 35-year-old man presenting with chest pain mimicking acute coronary syndrome was successfully diagnosed with apical hypertrophic cardiomyopathy and managed medically.
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