Midventricular Hypertrophic Cardiomyopathy with Apical Aneurysm: Potential for Underdiagnosis and Value of Multimodality Imaging
Joint Authors
Sivanandam, Archana
Ananthasubramaniam, Karthik
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-01-20
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
We illustrate a case of midventricle obstructive HCM and apical aneurysm diagnosed with appropriate use of multimodality imaging.
A 75-year-old African American woman presented with a 3-day history of chest pain and dyspnea with elevated troponins.
Her electrocardiogram showed sinus rhythm, left atrial enlargement, left ventricular hypertrophy, prolonged QT, and occasional ectopy.
After medical therapy optimization, she underwent coronary angiography for an initial diagnosis of non-ST segment elevation myocardial infarction.
Her coronaries were unremarkable for significant disease but her left ventriculogram showed hyperdynamic contractility of the midportion of the ventricle along with a large dyskinetic aneurysmal apical sac.
A subsequent transthoracic echocardiogram provided poor visualization of the apical region of the ventricle but contrast enhancement identified an aneurysmal pouch distal to the midventricular obstruction.
To further clarify the diagnosis, cardiac magnetic resonance imaging with contrast was performed confirming the diagnosis of midventricular hypertrophic cardiomyopathy with apical aneurysm and fibrosis consistent with apical scar on delayed enhancement.
The patient was medically treated and subsequently underwent elective implantable defibrillator placement in the ensuing months for recurrent nonsustained ventricular tachycardia and was initiated on prophylactic oral anticoagulation with warfarin for thromboembolic risk reduction.
American Psychological Association (APA)
Sivanandam, Archana& Ananthasubramaniam, Karthik. 2016. Midventricular Hypertrophic Cardiomyopathy with Apical Aneurysm: Potential for Underdiagnosis and Value of Multimodality Imaging. Case Reports in Cardiology،Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1100415
Modern Language Association (MLA)
Sivanandam, Archana& Ananthasubramaniam, Karthik. Midventricular Hypertrophic Cardiomyopathy with Apical Aneurysm: Potential for Underdiagnosis and Value of Multimodality Imaging. Case Reports in Cardiology No. 2016 (2016), pp.1-5.
https://search.emarefa.net/detail/BIM-1100415
American Medical Association (AMA)
Sivanandam, Archana& Ananthasubramaniam, Karthik. Midventricular Hypertrophic Cardiomyopathy with Apical Aneurysm: Potential for Underdiagnosis and Value of Multimodality Imaging. Case Reports in Cardiology. 2016. Vol. 2016, no. 2016, pp.1-5.
https://search.emarefa.net/detail/BIM-1100415
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1100415