Eccentric apical hypertrophic cardiomyopathy unmasked by multimodality imaging: An uncommon but missed cause of out of hospital cardiac arrest

Eric Towe, Saurabh Sharma, Jeffrey Geske, Michael John Ackerman

Research output: Contribution to journalArticle


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.

Original languageEnglish (US)
JournalBMJ Case Reports
StatePublished - Jul 6 2015


ASJC Scopus subject areas

  • Medicine(all)

Cite this