Akut Koroner Sendromu Taklit Eden Apikal Hipertrofik Kardiyomiyopati: Olgu Sunumu
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Dosyalar
Tarih
2012
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi Tıp Fakültesi Dergisi
Erişim Hakkı
Attribution 3.0 United States
Özet
Apikal hipertrofik kardiyomiyopati (HKM) hipertrofik kardiyomiyopatinin nispeten nadir görülen, özellikle sol ventrikülün apeksinin miyokardının hipertrofisini içeren bir tipidir. İlk olarak Sakamoto ve Yamaguchi tarafından açıklanan apikal HKM’nin tipik bulguları, elektrokardiografide dev T dalga negatifliği ve sol ventrikülografide diyastole sonunda sol ventrikül kavitesinin “maça ası” görünümüdür. Apikal HKM diğer HKM ile karşılaştırıldığında genellikle iyi seyirlidir. Apikal tip HKM’nin en iyi tanı aracı transtorasik ekokardiyografi (TTE) olmasına rağmen rutin işlemlerde nadiren gözden kaçabilir. Bu olgu sunumunda, başka bir merkeze akut koroner sendrom tablosunda başvuran ve rutin TTE incelemede HKM’si gözden kaçan fakat gerçekte HKM’li 38 yaşında erkek hastadan bahsedilmektedir.
Apical hypertrophic cardiomyopathy (HCM) is a relatively rare form of HCM, in which the hypertrophy of myocardium predominantly involves the apex of the left ventricle. The typical features of Apical HCM, first described by Sakamoto and Yamaguchi and their associates, consist of giant T wave negativity in the electrocardiogram and a “spade-like” configuration of the LV cavity at end-diastole on left ventriculography. Apical HCM generally has a more benign course compared to other variants HCM.Although the best tool for diagnosis of HCM is transthoracic echocardiography (TTE) apical type of HCM may be occasionally overlooked during routine examination. We present a 38 years old male with HCM who was referred from the out center with the preliminary diagnosis of acute coronary syndrome but indeed he had HCM and in whom HCM was overlooked during TTE examination.
Apical hypertrophic cardiomyopathy (HCM) is a relatively rare form of HCM, in which the hypertrophy of myocardium predominantly involves the apex of the left ventricle. The typical features of Apical HCM, first described by Sakamoto and Yamaguchi and their associates, consist of giant T wave negativity in the electrocardiogram and a “spade-like” configuration of the LV cavity at end-diastole on left ventriculography. Apical HCM generally has a more benign course compared to other variants HCM.Although the best tool for diagnosis of HCM is transthoracic echocardiography (TTE) apical type of HCM may be occasionally overlooked during routine examination. We present a 38 years old male with HCM who was referred from the out center with the preliminary diagnosis of acute coronary syndrome but indeed he had HCM and in whom HCM was overlooked during TTE examination.
Açıklama
İnönü Üniversitesi Tıp Fakültesi Dergisi 2012;19(1):36-9.
Anahtar Kelimeler
Apikal Hipertrofik Kardiyomiyopati, Ekokardiografi, Akut Koroner Sendrom, Apical Hypertrophic Cardiomyopathy, Echocardiography, Acute Coronary Syndrome
Kaynak
WoS Q Değeri
Scopus Q Değeri
Cilt
Sayı
Künye
Güven, Aytekin ; (2012) Akut Koroner Sendromu Taklit Eden Apikal Hipertrofik Kardiyomiyopati: Olgu Sunumu,İnönü Üniversitesi Tıp Fakültesi Dergisi 2012;19(1):36-9.
