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Recurrent Angina in Apical Hypertrophic Cardiomyopathy Associated With Myocardial Bridging of the Posterior

Mihir G Shah1, Yashvardhan Batta1, Carly Fabrizio2

  • 1Internal Medicine, Temple University Hospital, Philadelphia, USA.

Cureus
|July 30, 2026
PubMed

Insights

Chest pain in hypertrophic cardiomyopathy (HCM) may indicate myocardial bridging, not just acute coronary syndrome (ACS). This condition, where an artery segment is covered by muscle, is more common in HCM patients and can cause ischemia.

Area of Science:

  • Cardiology
  • Cardiovascular Medicine
  • Medical Case Reports

Background:

  • Apical hypertrophic cardiomyopathy (HCM) can present with chest pain, often raising concern for acute coronary syndrome (ACS).
  • Obstructive coronary artery disease is a common cause of chest pain, but other etiologies should be considered when it is excluded.

Keywords:
anginacardiac eventscoronary angiographyhypertrophic cardiomyopathymyocardial bridgeposterior descending artery

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