title: Apical hypertrophic cardiomyopathy: a case of slow flow in lad and malign ventricular arrhythmia.
abstract: The coronary slow flow phenomenon is an angiographic finding characterized by delayed distal vessel opacification in the absence of epicardial coronary artery disease. Patients often present with acute coronary syndrome. Histopathologic studies have revealed the existence of fibromuscular hyperplasia and myofibrilar hypertrophy. Apical hypertrophic cardiomyopathy is a benign progressive form of hypertrophic cardiomyopathy, that is rarely observed in western communities. It remains commonly asymptomatic until advanced ages. Syncope, arrhythmia or sudden death may be the first symptom. We report a case of slow coronary arterial flow in a 71-year-old male patient with apical hypertrophic cardiomyopathy who experienced chest pain and sudden cardiac arrest due to ventricular arrhythmia.
authors: Department of Cardiology, Ondokuz Mayis University, Medical Faculty, Samsun, Turkey.
authors: Emre
authors: E
authors: Aksakal
authors: Oktay
authors: O
authors: Yapici
authors: Mustafa
authors: M
authors: Yazici
authors: Ozcan
authors: O
authors: Yilmaz
authors: Mahmut
authors: M
authors: Sahin
mesh_terms: D000368:Aged; D001783:Blood Flow Velocity; D002312:Cardiomyopathy, Hypertrophic / Q000503:physiopathology*; D017023:Coronary Angiography; D003326:Coronary Circulation; D006801:Humans; D008297:Male; D014693:Ventricular Fibrillation / Q000503:physiopathology*