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Late presentation of hypertrophic cardiomyopathy with apical aneurysm
  1. Vinit Sawhney1,2,
  2. Oksana Maksunova1,
  3. Fahad Iqbal1,
  4. Mark Westwood1,2
  1. 1Department of Cardiology, North Middlesex University Hospital NHS Trust, London, UK
  2. 2Barts Heart Centre, London, UK
  1. Correspondence to Dr Vinit Sawhney, sawhneyvin{at}

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The present image shows an echocardiogram depicting a large left ventricular (LV) apical aneurysm (20 cm2) with spontaneous contrast (figure 1; cine images are provided as videos 1 and 2) in a patient with hypertrophic cardiomyopathy (HCM) whose first presentation was in the seventh decade of her life. The patient presented with a history of dyspnoea and was in periarrest ventricular tachycardia (VT) in the emergency department. Five DC shocks were unsuccessful and she eventually …

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