Hypertrophic obstructive cardiomyopathy with pseudo-myocardial infarction pattern. A case report

Przybojewski, J. Z. ; Van der Walt, J. J. ; Tiedt, F. A. C. (1986-6)

CITATION: Przybojewski, J.Z., Van Der Walt, J.J. & Tiedt, F.A.C. 1989. Hypertrophic obstructive cardiomyopathy with pseudo-myocardial infarction pattern. South African Medical Journal, 69(6):828-832.

The original publication is available at http://www.samj.org.za


ENGLISH ABSTRACT: A 60-year-old woman with mild hypertension and presumed ischaemic heart disease was followed up over a very long period on account of angina pectoris. Acute myocardial infarction (MI) was suspected on the basis of the history, ECG findings and serum enzyme values, but disproved by radio-isotope investigation. Echocardiography demonstrated features of hypertrophic obstructive cardiomyopathy (HOCM), a diagnosis supported by cardiac catheterization and endomyocardial biopsy (EMB). Histological features of HOCM were absent from left ventricular EMB specimens despite a significant intraventricular gradient, but the right ventricular EMB demonstrated extensive changes of HOCM despite a small intraventricular gradient. Cardiac catheterization excluded previous MI and coronary artery disease. A further interesting feature was the development of congestive cardiac failure, which necessitated modification of her drug therapy).

AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar

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