title: [Apical hypertrophic myocardiopathy: differential diagnosis with ischemic cardiopathy].
abstract: A 53-year-old patient was admitted to our hospital because of exertional angina and electrocardiographic changes suggesting ischemic heart disease. The echocardiogram and cardiac catheterization demonstrated apical hypertrophic cardiomyopathy with normal coronary angiogram. We review the clinical features, treatment and prognosis of this condition. We insist on the importance of clinically suspecting it in any asymptomatic patient, or with any type of cardiac symptoms, and giant negative T waves with electrocardiographic features of left ventricular hypertrophy.
authors.affiliation: Servicios de Medicina Interna y Cardiología, Hospital General Vall d'Hebron, Barcelona.
authors.forename: L
authors.initials: L
authors.lastname: Castells
authors.forename: P
authors.initials: P
authors.lastname: Tornos
mesh_terms: D002312:Cardiomyopathy, Hypertrophic / Q000175:diagnosis* / Q000473:pathology; D003327:Coronary Disease / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged
vernacular_title: Miocardiopatía hipertrófica apical: diagnóstico diferencial con la cardiopatía isquémica.