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Left ventricular aneurysm associated with apical hypertrophic cardiomyopathy
J Partanen1, M Kupari, J Heikkilä
1First Department of Medicine, University Central Hospital, Helsinki, Finland.
Clinical Cardiology
|November 1, 1991
Summary
A patient with apical hypertrophic cardiomyopathy and left ventricular aneurysm experienced palpitations. The condition remained stable for 20 months without treatment, suggesting a favorable clinical course for this rare cardiac presentation.
Area of Science:
- Cardiology
- Cardiovascular Imaging
- Electrophysiology
Background:
- Apical hypertrophic cardiomyopathy is a rare form of cardiac hypertrophy.
- Left ventricular aneurysms can be congenital or acquired.
- Palpitations are a common cardiac symptom requiring investigation.
Observation:
- A 47-year-old male presented with palpitations.
- Diagnosis revealed apical hypertrophic cardiomyopathy and an apical left ventricular aneurysm.
- No significant intraventricular pressure gradient was observed.
Findings:
- Angiography suggested the aneurysm may be linked to the cardiomyopathy or myocardial bridging of the left anterior descending artery.
- Ambulatory ECG monitoring showed only isolated ventricular ectopic beats.
- The patient's clinical course was favorable over 20 months without intervention.
Implications:
- This case highlights a rare association between apical hypertrophic cardiomyopathy and left ventricular aneurysm.
- Understanding the etiology of such aneurysms is crucial for patient management.
- The favorable clinical course suggests potential for conservative management in select cases.