Midventricular Hypertrophic Cardiomyopathy With Apical Aneurysm Presenting as Persistent ST-Segment Elevation
Andreas Kyvetos1, Ioannis Liatakis1, Panagioula Niarchou1
1Department of Cardiology, Evangelismos General Hospital of Athens, Athens, Greece.
JACC. Case Reports
|July 30, 2026
Summary
Persistent ST-segment elevation on ECG can mimic heart attack but may indicate nonischemic hypertrophic cardiomyopathy. This rare condition requires careful diagnosis using imaging alongside electrocardiography for effective management.
Area of Science:
- Cardiology
- Cardiac Imaging
- Electrocardiography
Background:
- ST-segment elevation typically signifies acute myocardial infarction due to coronary occlusion.
- Persistent ST-segment elevation can also be a sign of nonischemic structural heart disease.
- Differentiating these causes is crucial for appropriate patient management.
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