Apical hypertrophic cardiomyopathy as a mask of acute coronary syndrome: a case series
Apical hypertrophic cardiomyopathy (HCM) or Yamaguchi syndrome is a relatively rare subtype of HCM characterized by a left ventricular apex localization of the hypertrophy. In this case, chest pain can be erroneously interpreted as a manifestation of coronary artery disease. This article presents tw...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
«FIRMA «SILICEA» LLC
2022-12-01
|
| Series: | Российский кардиологический журнал |
| Subjects: | |
| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/5262 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849250000171696128 |
|---|---|
| author | D. Yu. Goncharova G. R. Bikbaeva A. A. Tukhbatova I. S. Mullova D. V. Duplyakov |
| author_facet | D. Yu. Goncharova G. R. Bikbaeva A. A. Tukhbatova I. S. Mullova D. V. Duplyakov |
| author_sort | D. Yu. Goncharova |
| collection | DOAJ |
| description | Apical hypertrophic cardiomyopathy (HCM) or Yamaguchi syndrome is a relatively rare subtype of HCM characterized by a left ventricular apex localization of the hypertrophy. In this case, chest pain can be erroneously interpreted as a manifestation of coronary artery disease. This article presents two cases of apical HCM in patients admitted with a diagnosis of acute coronary syndrome. Electrocardiogram revealed repolarization disorder and giant T wave inversion (up to 10 mm) in the precordial leads. Transthoracic echocardiography revealed local symmetric hypertrophy of the left ventricular apex, which made it possible to diagnose apical HCM. The coronary arteries in both patients were intact. The presented cases demonstrate a variant of apical HCM with chest pain as the leading clinical syndrome, which can often be the cause of overdiagnosis of acute coronary syndrome. |
| format | Article |
| id | doaj-art-a4d2f94028084bfb89e21e3a18b741a4 |
| institution | Kabale University |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| publishDate | 2022-12-01 |
| publisher | «FIRMA «SILICEA» LLC |
| record_format | Article |
| series | Российский кардиологический журнал |
| spelling | doaj-art-a4d2f94028084bfb89e21e3a18b741a42025-08-20T03:57:22Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202022-12-01274S10.15829/1560-4071-2022-52623728Apical hypertrophic cardiomyopathy as a mask of acute coronary syndrome: a case seriesD. Yu. Goncharova0G. R. Bikbaeva1A. A. Tukhbatova2I. S. Mullova3D. V. Duplyakov4Samara State Medical UniversityV. P. Polyakov Samara Regional Clinical Cardiology DispensarySamara State Medical UniversitySamara State Medical University; V. P. Polyakov Samara Regional Clinical Cardiology DispensarySamara State Medical University; V. P. Polyakov Samara Regional Clinical Cardiology DispensaryApical hypertrophic cardiomyopathy (HCM) or Yamaguchi syndrome is a relatively rare subtype of HCM characterized by a left ventricular apex localization of the hypertrophy. In this case, chest pain can be erroneously interpreted as a manifestation of coronary artery disease. This article presents two cases of apical HCM in patients admitted with a diagnosis of acute coronary syndrome. Electrocardiogram revealed repolarization disorder and giant T wave inversion (up to 10 mm) in the precordial leads. Transthoracic echocardiography revealed local symmetric hypertrophy of the left ventricular apex, which made it possible to diagnose apical HCM. The coronary arteries in both patients were intact. The presented cases demonstrate a variant of apical HCM with chest pain as the leading clinical syndrome, which can often be the cause of overdiagnosis of acute coronary syndrome.https://russjcardiol.elpub.ru/jour/article/view/5262yamaguchi syndromeapical hypertrophic cardiomyopathyacute coronary syndromediagnostic imaging |
| spellingShingle | D. Yu. Goncharova G. R. Bikbaeva A. A. Tukhbatova I. S. Mullova D. V. Duplyakov Apical hypertrophic cardiomyopathy as a mask of acute coronary syndrome: a case series Российский кардиологический журнал yamaguchi syndrome apical hypertrophic cardiomyopathy acute coronary syndrome diagnostic imaging |
| title | Apical hypertrophic cardiomyopathy as a mask of acute coronary syndrome: a case series |
| title_full | Apical hypertrophic cardiomyopathy as a mask of acute coronary syndrome: a case series |
| title_fullStr | Apical hypertrophic cardiomyopathy as a mask of acute coronary syndrome: a case series |
| title_full_unstemmed | Apical hypertrophic cardiomyopathy as a mask of acute coronary syndrome: a case series |
| title_short | Apical hypertrophic cardiomyopathy as a mask of acute coronary syndrome: a case series |
| title_sort | apical hypertrophic cardiomyopathy as a mask of acute coronary syndrome a case series |
| topic | yamaguchi syndrome apical hypertrophic cardiomyopathy acute coronary syndrome diagnostic imaging |
| url | https://russjcardiol.elpub.ru/jour/article/view/5262 |
| work_keys_str_mv | AT dyugoncharova apicalhypertrophiccardiomyopathyasamaskofacutecoronarysyndromeacaseseries AT grbikbaeva apicalhypertrophiccardiomyopathyasamaskofacutecoronarysyndromeacaseseries AT aatukhbatova apicalhypertrophiccardiomyopathyasamaskofacutecoronarysyndromeacaseseries AT ismullova apicalhypertrophiccardiomyopathyasamaskofacutecoronarysyndromeacaseseries AT dvduplyakov apicalhypertrophiccardiomyopathyasamaskofacutecoronarysyndromeacaseseries |