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Case report
peer-reviewed

Management of a Rare Variant of Hypertrophic Cardiomyopathy



Abstract

Apical hypertrophic cardiomyopathy (HCM) is a rare variant of HCM. We present the case of a 26-years-old female who was diagnosed with apical HCM. Her electrocardiogram showed the characteristic T-wave inversions in V2-V5 and her echocardiogram portrayed apical left ventricular hypertrophy. The diagnosis was confirmed with a cardiac magnetic resonance imaging (MRI) scan. She was treated with beta blockers. Our case emphasizes that apical HCM is a relatively benign disease. However, due to the emerging evidence of sudden cardiac deaths in these patients, the risk for sudden death needs to be evaluated.



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Case report
peer-reviewed

Management of a Rare Variant of Hypertrophic Cardiomyopathy


Author Information

Sidra Khalid Corresponding Author

Internal Medicine Residency, Fairview Hospital, Cleveland Clinic, USA

Murtaza Sundhu

Internal Medicine Residency, Fairview Hospital, Cleveland Clinic, USA

Alinda Sarma

Internal Med, Cleveland Clinic, Fairview Hospital

Bicky Thapa

Internal Medicine, Cleveland Clinic, Fairview Hospital

Praful Maroo

Cardiology, Fairview Hospital, Cleveland Clinic, USA


Ethics Statement and Conflict of Interest Disclosures

Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.


Case report
peer-reviewed

Management of a Rare Variant of Hypertrophic Cardiomyopathy


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Case report
peer-reviewed

Management of a Rare Variant of Hypertrophic Cardiomyopathy

  • Author Information
    Sidra Khalid Corresponding Author

    Internal Medicine Residency, Fairview Hospital, Cleveland Clinic, USA

    Murtaza Sundhu

    Internal Medicine Residency, Fairview Hospital, Cleveland Clinic, USA

    Alinda Sarma

    Internal Med, Cleveland Clinic, Fairview Hospital

    Bicky Thapa

    Internal Medicine, Cleveland Clinic, Fairview Hospital

    Praful Maroo

    Cardiology, Fairview Hospital, Cleveland Clinic, USA


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: Consent was obtained by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

    Acknowledgements


    Article Information

    Published: January 16, 2018

    DOI

    10.7759/cureus.2074

    Cite this article as:

    Khalid S, Sundhu M, Sarma A, et al. (January 16, 2018) Management of a Rare Variant of Hypertrophic Cardiomyopathy. Cureus 10(1): e2074. doi:10.7759/cureus.2074

    Publication history

    Received by Cureus: December 07, 2017
    Peer review began: December 09, 2017
    Peer review concluded: January 01, 2018
    Published: January 16, 2018

    Copyright

    © Copyright 2018
    Khalid et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Apical hypertrophic cardiomyopathy (HCM) is a rare variant of HCM. We present the case of a 26-years-old female who was diagnosed with apical HCM. Her electrocardiogram showed the characteristic T-wave inversions in V2-V5 and her echocardiogram portrayed apical left ventricular hypertrophy. The diagnosis was confirmed with a cardiac magnetic resonance imaging (MRI) scan. She was treated with beta blockers. Our case emphasizes that apical HCM is a relatively benign disease. However, due to the emerging evidence of sudden cardiac deaths in these patients, the risk for sudden death needs to be evaluated.



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