Emergency Medicine: Open Access
Open Access

Abstract

Apical Hypertrophic Cardiomyopathy Presenting Mimicking Acute Coronary Syndrome at an Advanced Age

Ki-Woon Kang

At the emergency room, advanced ages with chest pain and ST-T changes in the electrocardiogram (ECG) could be easily considered as acute coronary syndrome (ACS) and transferred to catheterization laboratory for urgent coronary angiogram (CAG). In our case, these patients were finally diagnosed as apical hypertrophic cardiomyopathy (AHCM) after urgent CAG subsequent to echocardiogram. AHCM is common in Asian populations and it represents a condition may mimic ACS. We report two elderly cases of AHCM who presented with chest pain mimicking an ACS in the emergency room and review the literature on the late development of AHCM.