ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
An overlooked diagnosis on transthoracic echocardiography: apical hypertrophic cardiomyopathy [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2009; 37(8): 569-571

An overlooked diagnosis on transthoracic echocardiography: apical hypertrophic cardiomyopathy

Ömer Yiğiner, Bekir Yılmaz Cingözbay, Ömer Uz, Bekir Sıtkı Cebeci
Department of Cardiology, Haydarpaşa Training Hospital

Apical hypertrophic cardiomyopathy (HCM) may be overlooked during routine echocardiography. A 54-year-old male patient with dyslipidemia and positive family history presented with atypical chest pain. The 12-lead electrocardiogram showed increased QRS voltage and deep T-wave inversions in precordial leads. Transthoracic echocardiography performed with poor echocardiographic windows demonstrated normal findings. Coronary angiography showed normal coronary arteries. Left ventriculography revealed a spade-like deformity (ace of spades), typical for apical HCM. Cardiac magnetic resonance imaging confirmed the diagnosis.

Keywords: Cardiomyopathy, hypertrophic, catheterization, echocardiography; electrocardiography; magnetic resonance imaging.

How to cite this article
Ömer Yiğiner, Bekir Yılmaz Cingözbay, Ömer Uz, Bekir Sıtkı Cebeci. An overlooked diagnosis on transthoracic echocardiography: apical hypertrophic cardiomyopathy. Turk Kardiyol Dern Ars. 2009; 37(8): 569-571

Corresponding Author: Ömer Yiğiner, Türkiye
Manuscript Language: English


Journal Metrics

Journal Citation Indicator: 0.18
CiteScore: 1.1
Source Normalized Impact
per Paper:
0.22
SCImago Journal Rank: 0.348

Quick Search



Copyright © 2024 Archives of the Turkish Society of Cardiology



Kare Publishing is a subsidiary of Kare Media.