A 66-Year-Old Female with Apical Hypertrophic Cardiomyopathy Presenting with Hypertensive Crises and Type 2 Myocardial Infarction and a Normal Coronary Angiogram
Joint Authors
Meghrajani, Vineet
Wats, Karan
Saxena, Abhinav
Malik, Bilal
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-10-25
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
A 66-year-old female presented to the emergency room with an episode of chest pain that lasted for a few minutes before resolving spontaneously.
Electrocardiogram showed a left bundle branch block, left ventricular hypertrophy, and T wave inversions in the lateral leads.
Initial cardiac troponin level was 0.15 ng/ml, with levels of 4 ng/ml and 9 ng/ml obtained 6 and 12 hours later, respectively.
The peak blood pressure recorded was 195/43 mmHg.
Echocardiogram with DEFINITY showed a small left ventricular cavity with apical hypertrophy, and coronary angiogram showed no stenotic or occluding lesions in the coronary arteries.
The patient was admitted for a type 2 myocardial infarction with hypertensive crises.
She was diagnosed with having apical hypertrophic cardiomyopathy, which is a variant of hypertrophic cardiomyopathy (HCM) in which the hypertrophy predominantly involves the apex of the left ventricle resulting in midventricular obstruction, as opposed to the left ventricular outflow tract obstruction seen in HCM.
Patients with apical HCM may present with angina, heart failure, myocardial infarction, syncope, or arrhythmias and are typically managed with medications like verapamil and beta-blockers for those who have symptoms and antiarrhythmic agents like amiodarone and procainamide for treatment of atrial fibrillation and ventricular arrhythmias.
An implantable cardioverter defibrillator (ICD) is recommended for high-risk HCM patients with a history of previous cardiac arrest or sustained episodes of ventricular tachycardia, syncope, and a family history of sudden death.
American Psychological Association (APA)
Meghrajani, Vineet& Wats, Karan& Saxena, Abhinav& Malik, Bilal. 2018. A 66-Year-Old Female with Apical Hypertrophic Cardiomyopathy Presenting with Hypertensive Crises and Type 2 Myocardial Infarction and a Normal Coronary Angiogram. Case Reports in Cardiology،Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1141264
Modern Language Association (MLA)
Meghrajani, Vineet…[et al.]. A 66-Year-Old Female with Apical Hypertrophic Cardiomyopathy Presenting with Hypertensive Crises and Type 2 Myocardial Infarction and a Normal Coronary Angiogram. Case Reports in Cardiology No. 2018 (2018), pp.1-5.
https://search.emarefa.net/detail/BIM-1141264
American Medical Association (AMA)
Meghrajani, Vineet& Wats, Karan& Saxena, Abhinav& Malik, Bilal. A 66-Year-Old Female with Apical Hypertrophic Cardiomyopathy Presenting with Hypertensive Crises and Type 2 Myocardial Infarction and a Normal Coronary Angiogram. Case Reports in Cardiology. 2018. Vol. 2018, no. 2018, pp.1-5.
https://search.emarefa.net/detail/BIM-1141264
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1141264