Apical Hypertrophic Cardiomyopathy
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A 68-year-old woman presented with symptoms of palpitations and was found to have frequent premature ventricular contractions and nonsustained ventricular tachycardia. A transthoracic echocardiogram showed possible evidence of left ventricular apical aneurysm, and a left ventriculogram was obtained . Hypertrophic cardiomyopathy with an apical variant was seen during systole (Panel A) and diastole (Panel B) and was subsequently confirmed on cardiac magnetic resonance imaging. The patient did not have angiographic evidence of epicardial coronary artery disease. She was treated with sotalol for the palpitations and received an implantable cardioverter–defibrillator (ICD) for primary prevention of sudden cardiac death. At a clinic visit 5 months later, she had received no ICD shocks and reported no symptoms of severe palpitations...

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