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Apical hypertrophic cardiomyopathy: diagnosis, medical and surgical treatment

Jerzy Paluszkiewicz1, Beata Krasinska2, Hendrik Milting3

  • 1Cardiology Institute and Clinic, Poznan University of Medical Sciences, Poznan, Poland.

Kardiochirurgia I Torakochirurgia Polska = Polish Journal of Cardio-Thoracic Surgery
|January 17, 2019
PubMed

Insights

Apical hypertrophic cardiomyopathy (AHCM) is a rare heart condition. While it can cause severe issues, imaging like echocardiography and CMR are key, and prognosis is generally optimistic with low mortality.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Genetics

Background:

  • Apical hypertrophic cardiomyopathy (AHCM) is a rare variant of hypertrophic cardiomyopathy.
  • It can lead to significant, though infrequent, complications.
  • Understanding its characteristics is crucial for patient management.

Purpose of the Study:

  • To review the etiology and pathogenesis of AHCM.
  • To detail diagnostic imaging modalities and their findings.
  • To summarize treatment strategies, clinical course, and prognosis.

Main Methods:

  • Literature review focusing on AHCM.
  • Analysis of imaging techniques including echocardiography and cardiovascular magnetic resonance imaging (CMR).
  • Synthesis of data on medical and surgical treatments, and patient outcomes.

Main Results:

  • Echocardiography and CMR are identified as the most valuable diagnostic tools for AHCM.
  • The review covers various aspects from cause to treatment.
  • Despite potential complications, AHCM patients exhibit low cardiovascular mortality.

Conclusions:

  • AHCM, though rare, requires specific diagnostic and management approaches.
  • Advanced imaging plays a pivotal role in identifying characteristic disease patterns.
  • The overall prognosis for AHCM patients is considered relatively optimistic.

Keywords:
apical hypertrophic cardiomyopathyechocardiographymagnetic resonance imagingsudden cardiac death

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