Apical Hypertrophic Cardiomyopathy (aHCM)

  • Atooshe Rohani
Part of the Clinical Cases in Cardiology book series (CCC)


A 46 years old man presented with chest discomfort, cardiology service has been consulted for rule out acute coronary syndrome ECG showed deep T inversion in the anterolateral leads. He was found to have apical HCM on TTE exam.


Apical HCM ECG abnormality Acute coronary syndrome 

Supplementary material

Movie 34.1

Apical four chambers TTE shows LV contrast study ace of spades-like shape of the left ventricular (AVI 11731 kb)


  1. 1.
    Eriksson M, Sonnenberg B, Woo A, Rakowski P, Parker T, Wigle E, et al. Long-term outcome in patients with apical hypertrophic cardiomyopathy. J Am Coll Cardiol. 2002;39(4):638–45.CrossRefGoogle Scholar
  2. 2.
    Stainback F. Apical hypertrophic cardiomyopathy. Tex Heart Inst J. 2012;39(5):747–9.PubMedPubMedCentralGoogle Scholar
  3. 3.
    Chen CC, Lei MH, Hsu YC, Chung SL, Sung YJ. Apical hypertrophic cardiomyopathy: correlations between echocardiographic parameters, angiographic left ventricular morphology, and clinical outcomes. Clin Cardiol. 2011;34:233–8.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Atooshe Rohani
    • 1
  1. 1.Northern Ontario School of MedicineThunder BayCanada

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