Outcomes and Revascularization Strategies of ST-Elevation Myocardial Infarction in Patients with Hypertrophic Cardiomyopathy

Author(s):  
Robert W. Ariss ◽  
Abdul Mannan Khan Minhas ◽  
Salik Nazir ◽  
Mitra M. Patel ◽  
Zeid Nesheiwat ◽  
...  
CJEM ◽  
2017 ◽  
Vol 20 (S2) ◽  
pp. S51-S55 ◽  
Author(s):  
Christopher J. Parr ◽  
Rajat Sharma ◽  
Philip J. Garber

AbstractElectrocardiographic changes resulting from apical hypertrophic cardiomyopathy may mimic an acute coronary syndrome. A 67-year-old Sudanese male without cardiac risk factors presented to hospital with chest pain and electrocardiographic findings of septal ST-segment elevation, ST-segment depression in V4-V6, and diffuse T-wave inversion. He was treated as an acute ST-elevation myocardial infarction with thrombolytics. There was no cardiac biomarker rise and coronary angiography did not reveal evidence of significant coronary arterial disease. Ventriculography, transthoracic echocardiography, and cardiac magnetic resonance imaging were consistent with apical hypertrophic cardiomyopathy. The patient was discharged three days later with outpatient cardiology follow-up. We highlight the clinical and electrocardiographic findings of apical hypertrophic cardiomyopathy, with an emphasis on distinguishing this from acute myocardial infarction.


2021 ◽  
Vol 7 (2) ◽  
pp. 172
Author(s):  
Debasish Das ◽  
Debasis Acharya ◽  
Tutan Das ◽  
Shashikant Singh ◽  
JaideepDas Gupta ◽  
...  

Praxis ◽  
2010 ◽  
Vol 99 (1) ◽  
pp. 55-59
Author(s):  
Wandeler-Meyer ◽  
Bremerich ◽  
Christ

Wir berichten über eine 83-jährige Patientin mit einem STEMI (ST elevation myocardial infarction), welche unter der Thrombozytenaggregationshemmung und systemischen Antikoagulation ein Rektusscheidenhämatom nach einer Hustenattacke entwickelte. Die Patientin beklagte progrediente Schmerzen im linken Unterbauch, welche mit einer palpablen Raumforderung einhergingen und von einer Anämie begleitet waren. In der Abdomensonographie und der Computertomographie zeigte sich ein Rektusscheidenhämatom. Der Artikel erörtert Pathogenese, Klinik, Diagnostik und Therapie unter Berücksichtigung der aktuellen Literatur.


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