Gözden Kaçırma Ölümcül Olabilir; Apikal Anevrizma ile İlişkili Ventrikül Ortası Darlığı Olan Hipertrofik Kardiyomiyopati

Abstract

Mid-ventricular obstructive hypertrophic cardiomyopathy(MVOHCM) is a rare type of cardiomyopathy that can be accompanied by apical aneurysm. MVOHCM was demonstrated to have caused cardiac arrhytmias and sudden cardiac death. The identification of high-risk patients with hypertrophic cardiomyopathy (HCM) for primary prevention of sudden cardiac death (SCD) remains a challenging issue, since major risk factors sometimes lack specificity. We report the case of a patient who presented with ventricular fibrillation, ST-segment elevation on electrocardiography, and cardiac-enzyme elevation, in the presence of normal coronary arteries. Continuouswave Doppler echocardiography revealed a pressure gradient between the apical and basal chambers of the left ventricle.