A Case of Apical Hypertrophic Cardiomyopathy With Rare Anomaly of Coronary Arteries Origin
https://doi.org/10.18087/cardio.2018.6.10127
Abstract
A clinical case of apical hypertrophic cardiomyopathy (HCM) in 44-years old man is presented. In this patient exercise ECG testing and 24-hour ECG monitoring revealed exercise-induced ST depression in the angiographically confirmed absence of coronary atherosclerosis. The uncommonness of this observation was the combination of HCM with a rare anomaly of coronary arteries origin.
Keywords
апикальная гипертрофическая кардиомиопатия,
аномалия коронарных артерий,
коронарография,
магнитно-резонансная томография,
компьютерная томография коронарных артерий,
apical hypertrophic cardiomyopathy,
coronary artery abnormality,
coronary angiography,
magnetic resonance imaging,
coronary computed tomography
About the Authors
N. S. Krylova
Pirogov Russian National Research Medical University; City Clinical Hospital № 52, Moscow
Russian Federation
Russian Federation
E. A. Kovalevskaya
Pirogov Russian National Research Medical University; City Clinical Hospital № 52, Moscow
Russian Federation
Russian Federation
N. G. Poteshkina
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
D. V. Titov
City Clinical Hospital № 52, Moscow
Russian Federation
Russian Federation
A. E. Vanyukov
City Clinical Hospital № 52, Moscow
Russian Federation
Russian Federation
E. A. Mershina
Treatment and Rehabilitation Center
Russian Federation
Russian Federation
V. E. Sinitsin
Treatment and Rehabilitation Center
Russian Federation
Russian Federation
References
1. Teare D. Asymmetrical hypertrophy of the heart in young adults. Br Heart J. 1958; 20 (1): 1-8.
2. Беленков Ю. Н., Привалова Е. В., Каплунова В. Ю. Гипертрофическая кардиомиопатия: руководство для врачей. М.: ГЭОТАР-Медиа, 2011. 392 с.: ил.
3. Gersh B.J., Maron B.J., Bonow R. O. et al. 2011 ACCF/AHA Guideline for the Diagnosis and Treatment of Hypertrophic Cardiomyopathy: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation 2011; 124: 783-831.
4. Elliott P. M., Anastasakis A., Borger M. A. et al. ESC Guidelines on diagnosis and management of hypertrophic cardiomyopathy. Eur Heart J. 2014; 35 (39): 2733-2779. DOI: 10.1093/eurheartj/ehu284. (29 August 2014).
5. Webb J., Villa A., Bekri I. et al. Usefulness of Cardiac Magnetic Resonance Imaging to Measure Left Ventricular Wall Thickness for Determining Risk Scores for Sudden Cardiac Death in Patients With Hypertrophic Cardiomyopathy. AmJ Cardiol 2017 Feb 10. pii: S0002-9149 (17) 30120-0. DOI: 10.1016/j.amjcard. 2017.01.021.
6. Rowin E. J., Maron M. S. The Role of Cardiac MRI in the Diagnosis and Risk Stratification of Hypertrophic Cardiomyopathy. Arrhythm Electrophysiol Rev 2016; 5 (3): 197-202. DOI: 10.15420/aer.2016:13:3.
7. Jan M. F., Todaro M. C., Oreto L. et al. Apical hypertrophic cardiomyopathy: Present status. Int J. Cardiol 2016; 222: 745-759. DOI: 10.1016/j.ijcard.2016.07.154. Epub 2016 Jul 28. Review.
8. Vucicevic D., Lester S. J., Appleton C. P. et al. The Incremental Value of Magnetic Resonance Imaging for Identification of Apical Pouch in Patients with Apical Variant of Hypertrophic Cardiomyopathy. Echocardiography 2016; 33 (4): 572-578. DOI: 10.1111/echo.13118. Epub 2015 Nov 30.
9. Villa A. D., Sammut E., Nair A. et al. Coronary artery anomalies overview: The normal and the abnormal. World J. Radiol 2016; 8: 537-555.
10. Choi J. W., Kim K., Kang M. G. et al. Multiple Coronary Artery Microfistulas Associated with Apical Hypertrophic Cardiomyopathy: Left and Right Coronary Artery to the Left Ventricle. Case Rep Cardiol 2015; 2015: 819839. DOI: 10.1155/2015/819839. Epub 2015 Nov.
11. Kim H., Park J. H., Won K. B. et al. Significance of apical cavity obliteration in apical hypertrophic cardiomyopathy. Heart 2016; 102 (15): 1215-1220. DOI: 10.1136/heartjnl-2015-309121.
12. Levis J. T. ECG diagnosis: apical hypertrophic cardiomyopathy. Perm J. 2013; 17 (2): 84.
13. Крылова Н. С., Гайдукова Н. И., Хашиева Ф. М., Потешкина Н. Г. Сложности диагностики апикальной формы гипертрофической кардиомиопатии. Клиническое наблюдение. Лечебное дело 2012; 4: 109-116
14. Magri D., Santolamazza C. Cardiopulmonary Exercise Test in Hypertrophic Cardiomyopathy. Ann Am Thorac Soc 2017 Apr 4. DOI: 10.1513/AnnalsATS.201611-884FR.
15. Desai M. Y., Bhonsale A., Patel P. et al. Exercise echocardiography in asymptomatic HCM: exercise capacity, and not LV outflow tract gradient predicts long - term outcomes. JACC Cardiovasc Imaging 2014; 7 (1): 26-36.
16. Кнышов Г. В., Гогаева Е. К., Руденко К. В. и др. Причины ишемии миокарда при гипертрофической кардиомиопатии. Сердце и сосуды 2012; 4 (40): 015-020
17. An S., Fan C., Yan L. et al. Comparison of Long-Term Outcome between Apical and Asymmetric Septal Hypertrophic Cardiomyopathy. Cardiology 2017; 136 (2): 108-114. DOI: 10.1159/000448239.
Review
For citations:
Krylova N.S., Kovalevskaya E.A., Poteshkina N.G., Titov D.V., Vanyukov A.E., Mershina E.A., Sinitsin V.E. A Case of Apical Hypertrophic Cardiomyopathy With Rare Anomaly of Coronary Arteries Origin. Kardiologiia. 2018;58(6):95-100. (In Russ.) https://doi.org/10.18087/cardio.2018.6.10127
Views:
782
Email this article 
Post a Comment 
