Apical non-obstructive hypertrophic cardiomyopathy (Yamaguchi hypertrophy)
Diagnosis almost certain
Presentation
Chronic smoker presents with recurrent chest pain and dyspnea.
Patient Data
Age: 20 years
Gender: Male
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Marked myocardial hypertrophy of left lateral ventricle is seen, with marked myocardial thickening at apex, and significant narrowing during systole.
Case Discussion
Electrocardiogram (ECG) of the patient showed giant negative 'T' wave, with 2-D echo features suggestive of apical hypertrophic cardiomyopathy (also known as Yamaguchi syndrome).
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