Apical hypertrophic cardiomyopathy in an Indian patient: straight from the book
- Department of Cardiology, GANESH PET CT & Diagnostic Centre, New Delhi, India
- Correspondence to Dr Sukhvinder Singh,
Competing interests None.
A 55-year-old non-hypertensive Indian man presented with a history of exertional angina. His electrocardiogram showed left ventricular hypertrophy (with biggest R-wave of 47 mm in V4) and giant T-wave inversion (more than 10 mm deep) with deepest T-wave inversion of 12 mm in V4 (figure 1). Echocardiogram (ECHO) showed left ventricular hypertrophy with a septal thickness of 11.7 mm and a posterior wall thickness of 12.2 mm. There was striking apical hypertrophy with a thickness of 28.4 mm (Videos 1–3). The left ventricular cavity resembled an ‘ace of spades’ in diastole …