Co-existing aortic stenosis and secondary hypertrophic cardiomyopathy manifested by an hourglass left ventricle. Successful treatment with verapamil.
A patient with moderate aortic stenosis had severe hypertrophy and a typical hourglass appearance of the left ventricle. His effort-induced angina and dyspnea responded to treatment with verapamil. We suggest that the aortic stenosis resulted in secondary hypertrophic cardiomyopathy which may be treated by calcium antagonists.
D001024:Aortic Valve Stenosis / Q000150:complications*; D006332:Cardiomegaly / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D009202:Cardiomyopathies / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D006352:Heart Ventricles / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D014700:Verapamil / Q000627:therapeutic use*
D014700:Verapamil