Apical hypertrophic cardiomyopathy with apical aneurysm in an African-American male

摘要

To the Editor A 39-year-old African-American man with a past history of diabetes, hypertension and dyslipidemia presented to the emergency department with a sudden onset of chest pain. The pain was described as a pressure-like sensation in the center of the chest, 10/10 in intensity with no aggravating or relieving factors. The pain lasted approximately 20min and was partially relieved by sublingual nitroglycerine. Cardiac examination revealed an S4 gallop without any murmurs. The electrocardiogram (EKG) revealed diffuse T-wave inversions most prominent in the anterolateral leads (Fig. 1). Cardiac biomarkers and basic labs were all unremarkable. The patient continued to have chest pain and, given his multiple cardiac risk factors and EKG changes, was admitted with the diagnosis of acute coronary syndrome.