title: Apical hypertrophic cardiomyopathy--case report and review of the literature.
abstract: Hypertrophic cardiomyopathy is a well-known clinical entity. Hypertrophy engraving the left ventricular apex, so called, apical hypertrophic cardiomyopathy (characterized by the giant negative T waves at ECG and a "spade-like" view of left ventricle) is very rare variant of the pathology. In this report, we present a 51-year-old patient with apical hypertrophic cardiomyopathy together with a brief review of the literature. It was concluded that in patients presenting to the clinic with typical or atypical chest pain or dyspnea, in whom ECG indicating negative giant T waves, before an early invasive strategy, the diagnosis of ApHCM should be kept in mind and an echocardiography should be performed to confirm the diagnosis. Additionally; not only the ApHCM can easily mimic the life threatening condition of acute coronary syndrome but also these two may be seen simultaneously but independently in the same patient. For this reason before making the final diagnosis the physicians always exclude the conditions, which may lead to acute coronary syndromes.
authors.affiliation: Bakirkoy Research Hospital, Department of Cardiology, Istanbul, Turkey.
authors.forename: I
authors.initials: I
authors.lastname: Caglar
authors.forename: A
authors.initials: A
authors.lastname: Vural
authors.forename: I
authors.initials: I
authors.lastname: Ungan
authors.forename: M
authors.initials: M
authors.lastname: Ugurlucan
authors.forename: O
authors.initials: O
authors.lastname: Karakaya
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis; D001241:Aspirin / Q000627:therapeutic use; D002312:Cardiomyopathy, Hypertrophic / Q000175:diagnosis* / Q000188:drug therapy / Q000235:genetics / Q000503:physiopathology; D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D019808:Losartan / Q000627:therapeutic use; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009154:Mutation
chemical_list: D019808:Losartan; D001241:Aspirin