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A Hidden Diagnosis Behind Giant Inverted T-waves: Recognizing Apical Hypertrophic Cardiomyopathy in a Young Adult

Abdul Rehman1, Muzamil Aslam Chaudhary2, Muhammad Yahya Khan3,4

  • 1Emergency Department, St. Luke's General Hospital, Kilkenny, IRL.

Cureus
|October 3, 2025
PubMed

Insights

Apical hypertrophic cardiomyopathy (ApHCM) can cause chest pain in young adults. Early cardiac MRI is crucial for diagnosing ApHCM and preventing misdiagnosis, especially with unusual ECG findings.

Area of Science:

  • Cardiology
  • Cardiovascular Imaging
  • Cardiomyopathies

Background:

  • Chest pain in young adults is a diagnostic challenge, often mimicking acute coronary syndrome.
  • Non-cardiac causes are more common, but cardiac conditions like hypertrophic cardiomyopathy must be considered.
  • Apical hypertrophic cardiomyopathy (ApHCM) is a rare form of hypertrophic cardiomyopathy.

Keywords:
acute coronary syndromeapical hypertrophic cardiomyopathycardiac mrichest painyamaguchi syndrome

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