Apical Hypertrophic Cardiomyopathy Presenting as Left Ventricular Aneurysm in a 74-Year-Old African American Male

Division

East Florida

Hospital

Kendall Regional Medical Center

Document Type

Case Report

Publication Date

2-15-2023

Keywords

Apical hypertrophic cardiomyopathy, Left Ventricular Aneurysm

Disciplines

Cardiology | Cardiovascular Diseases | Internal Medicine

Abstract

A 74-year-old African American male with multiple comorbidities including NSTEMI was evaluated for epigastric pain and found to have the rare apical variant of hypertrophic cardiomyopathy, referred to as Yamaguchi Disease. This variant spares the interventricular septum and patients largely lack the symptoms of traditional cardiomyopathy. This case was of particular significance not only due to the rare presentation amongst a population outside of its usual Asian demographic, but also one with an uncharacteristically more aggressive appearance, meriting a thorough workup and interventional treatment when taking into account the patient’s history of acute coronary syndrome and ventricular arrhythmia.

Publisher or Conference

Case Reports in Clinical Cardiology Journal

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