Document Detail

Apical hypertrophic cardiomyopathy with apical aneurysm in an African-American male.
MedLine Citation:
PMID:  22499000     Owner:  NLM     Status:  Publisher    
Apical hypertrophic cardiomyopathy (AHCM) is a rare variant of hypertrophic cardiomyopathy usually seen in Japanese and other Asian populations. It is characterized by left ventricular hypertrophy limited to the apex. The authors describe a case of AHCM in an African-American patient who presented with symptoms of acute coronary syndrome. Coronary angiogram showed normal unobstructed coronary arteries, whereas left ventricular angiogram revealed an 'ace of spades' sign at the end of diastole that is pathognomonic of AHCM. On follow-up echocardiogram 1 year later, the patient was noted to have developed a left ventricular aneurysm. Although ventricular aneurysms are known to occur with AHCM, they are usually found on presentation and, rarely, can develop on follow-up as seen in this patient.
Marcus Smith; Harsh Golwala; Elias B Hanna
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-11
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  -     ISSN:  1558-2035     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-4-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
aDepartment of Internal Medicine, Cardiovascular Section, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma bDepartment of Internal Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma cDepartment of Medicine, Cardiovascular Section, Louisiana State University, New Orleans, Louisiana, USA.
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