title: Hypertrophic cardiomyopathy with progression from apical hypertrophy to asymmetrical septal hypertrophy: a case report.
abstract: A 41-year-old man was referred to our hospital for further examination because of abnormal electrocardiography findings at a health-check examination. Transthoracic echocardiography showed left ventricular hypertrophy confined to the most distal portion of the left ventricle, which is a typical feature of apical hypertrophic cardiomyopathy. Ten years later, he was again admitted for the evaluation of chest pain. Echocardiography showed asymmetrical septal hypertrophy in addition to apical hypertrophy. These findings demonstrate morphologic evolution in hypertrophic cardiomyopathy from apical hypertrophy to asymmetrical septal hypertrophy.
authors.affiliation: Cardiology Division, Department of Medicine and Geriatrics, Kochi Medical School, Kohasu, Oko-cho, Nankoku, Kochi 783-8505. kitaokah@med.kochi-u.ac.jp
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Kitaoka
authors.forename: Tomoo
authors.initials: T
authors.lastname: Kuwahara
authors.forename: Koji
authors.initials: K
authors.lastname: Nishida
authors.forename: Keisuke
authors.initials: K
authors.lastname: Morimoto
authors.forename: Toru
authors.initials: T
authors.lastname: Kubo
authors.forename: Makoto
authors.initials: M
authors.lastname: Okawa
authors.forename: Takashi
authors.initials: T
authors.lastname: Furuno
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Doi
mesh_terms: D000328:Adult; D002312:Cardiomyopathy, Hypertrophic / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D018450:Disease Progression; D004452:Echocardiography; D004562:Electrocardiography; D006346:Heart Septum / Q000473:pathology; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000175:diagnosis; D008297:Male; D020257:Ventricular Remodeling