King of Hearts for Ace of Spades: Apical Hypertrophic Cardiomyopathy

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Presentation transcript:

King of Hearts for Ace of Spades: Apical Hypertrophic Cardiomyopathy Daku Siewe, Kyle B. Nichols, MD, Scott L. Furney, MD, Laszlo Littmann, MD The American Journal of Medicine Volume 127, Issue 1, Pages 31-33 (January 2014) DOI: 10.1016/j.amjmed.2013.10.001 Copyright © 2014 Elsevier Inc. Terms and Conditions

Figure 1 The electrocardiogram obtained on the patient's presentation demonstrated deep, symmetrical, negative T waves in the precordial leads. The American Journal of Medicine 2014 127, 31-33DOI: (10.1016/j.amjmed.2013.10.001) Copyright © 2014 Elsevier Inc. Terms and Conditions

Figure 2 An echocardiogram and a contrast echocardiogram showed predominant apical hypertrophy and a narrowing of the left ventricular cavity at the apex, resulting in a so-called ace of spades morphology. In the echocardiogram, the left ventricular cavity is displayed in black; in the contrast echocardiogram, the left ventricular cavity is white. Arrows indicate the cavity diameter at the apex and the base, and dotted lines illustrate the significant left ventricular wall thickening at the apex. The American Journal of Medicine 2014 127, 31-33DOI: (10.1016/j.amjmed.2013.10.001) Copyright © 2014 Elsevier Inc. Terms and Conditions