ST-Segment Elevation Myocardial Infarction Presentation in Apical Hypertrophic Cardiomyopathy
Jorge V López-Ibor1, Sofia Cuenca1, Beatriz López-Belgar1
1Department of Cardiology, Hospital Universitario de La Princesa, IIS-IP, CIBER-CV, Universidad Autónoma Madrid, Madrid, Spain.
Apical hypertrophic cardiomyopathy can cause chest pain and ST-segment changes mimicking heart attacks due to apical ischemia. This case highlights the importance of considering this condition in patients with normal coronary arteries.
Area of Science:
- Cardiology
- Cardiovascular Pathophysiology
Background:
- Apical hypertrophic cardiomyopathy (AHC) is a distinct form of hypertrophic cardiomyopathy.
- Recent research highlights the role of apical ischemia in AHC pathophysiology.
Observation:
- A patient presented with prolonged chest pain and ST-segment elevation myocardial infarction (STEMI).
- Coronary angiography revealed normal coronary arteries, ruling out obstructive coronary artery disease.
Findings:
- The patient was diagnosed with apical hypertrophic cardiomyopathy.
- Apical ischemia was identified as the likely cause of the ischemic symptoms and ECG changes.
Implications:
- This case underscores that AHC with apical ischemia can mimic acute coronary syndromes.
- It emphasizes the need for considering AHC in the differential diagnosis of chest pain with dynamic ST changes, especially with normal coronaries.
More Related Videos
08:13In Vivo Quantitative Assessment of Myocardial Structure, Function, Perfusion and Viability Using Cardiac Micro-computed Tomography
Published on: February 16, 2016
12:45Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
Published on: December 11, 2017
Related Concept Videos
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
Myocarditis I: Introduction
Acute Coronary Syndrome I: Introduction
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations
Acute Coronary Syndrome III: Diagnostic Studies
Cardiomyopathy III: Hypertrophic Cardiomyopathy
