TY - JOUR
T1 - Eccentric apical hypertrophic cardiomyopathy unmasked by multimodality imaging
T2 - An uncommon but missed cause of out of hospital cardiac arrest
AU - Towe, Eric
AU - Sharma, Saurabh
AU - Geske, Jeffrey
AU - Ackerman, Michael J.
N1 - Publisher Copyright:
Copyright 2015 BMJ Publishing Group. All rights reserved.
PY - 2015/7/6
Y1 - 2015/7/6
N2 - A woman in her late 50s experienced a witnessed, sudden out of hospital cardiac arrest. Initial workup included coronary angiography, transthoracic echocardiogram and a CT scan of the chest to rule out pulmonary embolus. She was subsequently discharged home without an implantable cardioverter defibrillator (ICD) or a life vest. On follow-up at another facility, an ICD was placed and a Holter monitor showed no ventricular ectopy. Further transthoracic echocardiographic images were obtained, which were suggestive of apical hypertrophic cardiomyopathy. A limited transthoracic echocardiogram with contrast was performed, which did not elucidate the hypertrophy. However, eccentric left ventricular apical wall hypertrophy was visualised by a coronary CT scan.
AB - A woman in her late 50s experienced a witnessed, sudden out of hospital cardiac arrest. Initial workup included coronary angiography, transthoracic echocardiogram and a CT scan of the chest to rule out pulmonary embolus. She was subsequently discharged home without an implantable cardioverter defibrillator (ICD) or a life vest. On follow-up at another facility, an ICD was placed and a Holter monitor showed no ventricular ectopy. Further transthoracic echocardiographic images were obtained, which were suggestive of apical hypertrophic cardiomyopathy. A limited transthoracic echocardiogram with contrast was performed, which did not elucidate the hypertrophy. However, eccentric left ventricular apical wall hypertrophy was visualised by a coronary CT scan.
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U2 - 10.1136/bcr-2014-208332
DO - 10.1136/bcr-2014-208332
M3 - Article
C2 - 26153133
AN - SCOPUS:84939505583
SN - 1757-790X
VL - 2015
JO - BMJ case reports
JF - BMJ case reports
ER -