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Apical hypertrophic cardiomyopathy: a case of slow flow in lad and malign ventricular arrhythmia

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Abstract

The coronary slow flow phenomenon is an angiographic finding characterized by delayed distal vessel opacification in the absence of epicardial coronary artery disease. Patients often present with acute coronary syndrome. Histopathologic studies have revealed the existence of fibromuscular hyperplasia and myofibrilar hypertrophy. Apical hypertrophic cardiomyopathy is a benign progressive form of hypertrophic cardiomyopathy, that is rarely observed in western communities. It remains commonly asymptomatic until advanced ages. Syncope, arrhythmia or sudden death may be the first symptom. We report a case of slow coronary arterial flow in a 71-year-old male patient with apical hypertrophic cardiomyopathy who experienced chest pain and sudden cardiac arrest due to ventricular arrhythmia.

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Authors and Affiliations

  1. Department of Cardiology, Ondokuz Mayis University, Medical Faculty, Samsun, Turkey

    Emre Aksakal, Mustafa Yazici, Ozcan Yilmaz & Mahmut Şahin

  2. Department of Nuclear Medicine, Ondokuz Mayis University, Medical Faculty, Kurupelit, 55139, Samsun, Turkey

    Oktay Yapici

Authors
  1. Emre Aksakal
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  2. Oktay Yapici
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  3. Mustafa Yazici
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  4. Ozcan Yilmaz
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  5. Mahmut Şahin
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Correspondence to Oktay Yapici.

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Aksakal, E., Yapici, O., Yazici, M. et al. Apical hypertrophic cardiomyopathy: a case of slow flow in lad and malign ventricular arrhythmia. Int J Cardiovasc Imaging 21, 185–188 (2005). https://doi.org/10.1007/s10554-004-2457-z

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  • DOI: https://doi.org/10.1007/s10554-004-2457-z

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