Multimodality imaging in apical hypertrophic cardiomyopathy: clinical case
F. N. Chanakhchian, 
N. I. Gulyaev,
D. V. Slivinski,
I. V. Klochkova,
E. V. Shutova,
A. Yu. Demchenkova
N. I. Gulyaev,
D. V. Slivinski,
I. V. Klochkova,
E. V. Shutova,
A. Yu. Demchenkova https://doi.org/10.22328/2079-5343-2023-14-3-93-98
Abstract
Apical hypertrophic cardiomyopathy is rare familial form of hypertrophic cardiomyopathy, with hypertrophy mainly affecting the apex of the left ventricle and characterized by a spade-like left ventricular cavity. Despite varying presentation, impaired capabilities of some standard instrumental methods and dissent on diagnostic criteria several diagnostic characteristics estimated by various noninvasive imaging modalities make it possible to establish a diagnosis with high accuracy. We hereby describe a case with electrocardiographic abnormalities and chest pain with suspected acute coronary syndrome. Acute coronary syndrome was excluded as well as performing invasive coronary angiography was avoided using advanced diagnostic tools including single photon emission computed tomography and apical hypertrophic cardiomyopathy was demonstrated by careful differential diagnosis.
About the Authors
F. N. Chanakhchian
National medical research center of high medical technologies — The Vishnevsky central military clinical hospital
Russian Federation
Russian Federation
Flora N. Chanakhchian — Cand. of Sci. (Med.), Head of emission computed tomography laboratory at the Department of radioisotope diagnostics
Kranogorsk
N. I. Gulyaev
National medical research center of high medical technologies — The Vishnevsky central military clinical hospital
Russian Federation
Russian Federation
Nikolay I. Gulyaev —Dr. of Sci. (Med.), сardiology center officer, Senior cardiologist FGFI «NMRC HMT n.a. A. A. Vishnevsky» ; professor at the Emergency department in Military Medical Academy named after S. M. Kirov
Kranogorsk
D. V. Slivinski
National medical research center of high medical technologies — The Vishnevsky central military clinical hospital
Russian Federation
Russian Federation
Dmitriy V. Slivinski — Cand. of Sci. (Med.),Head of cardiology department
Kranogorsk
I. V. Klochkova
National medical research center of high medical technologies — The Vishnevsky central military clinical hospital
Russian Federation
Russian Federation
Inna V. Klochkova — Cand. of Sci. (Med.), Cardiologist
Kranogorsk
E. V. Shutova
National medical research center of high medical technologies — The Vishnevsky central military clinical hospital
Russian Federation
Russian Federation
Elena V. Shutova — Head of UD (heart) in Functional Diagnostic Center
Kranogorsk
A. Yu. Demchenkova
National medical research center of high medical technologies — The Vishnevsky central military clinical hospital
Russian Federation
Russian Federation
Anna Yu. Demchenkova — Cand. of Sci. (Med.), Radiologist
Kranogorsk
References
1. Geske J.B., Ommen S.R., Gersh B.J. Hypertrophic Cardiomyopathy: Clinical Update // JACC Hear Fail. 2018. Vol. 6, No. 5. Р. 364–375. doi: 10.1016/j.jchf.2018.02.010.
2. Yusuf S.W., Bathina J.D., Banchs J., Mouhayar E.N., Daher I.N. Apical hypertrophic cardiomyopathy // World J. Cardiol. 2011. Vol. 3, No. 7. Р. 256–259. doi: 10.4330/wjc.v3.i7.256.
3. Yamaguchi H., Nishiyama S., Nakanishi S., Nishimura S. Electrocardiographic, echocardiographic and ventriculographic characterization of hypertrophic nonobstructive cardiomyopathy // Eur. Heart J. 1983. No. 4, Suppl. F. Р. 105–119. doi: 10.1093/eurheartj/4.suppl_f.105.
4. Ruhela M., Kumar O.R., Neeraj C. et al. Yamaguchi syndrome: A mimicer of acute coronary syndrome // Journal of Family Medicine and Primary Care. 2022. Vol. 11, No. 5, pp. 2223–2225. DOI: 10.4103/jfmpc.jfmpc_1800_21.
5. Goncharova D.Yu., Bikbaeva G.R., Tukhbatova A.A., et al. Apical hypertrophic cardiomyopathy as a mask of acute coronary syndrome: a case series // Russian Journal of Cardiology, 2022, Vol. 27, No. 4S, pp. 5262 (In Russ.). doi: 10.15829/1560-4071-2022-5262.
6. Esipov A.V., Alehnovich A.V., Abushinov V.V. New requirements for internal quality control and safety of medical activities: ways and tools for their implementation in a multidisciplinary hospital technologies for implementing quality management in the management processes of a military hospital (the third message). Hospital medicine: science and practice, 2021, Vol. 4, No. 3, pp. 78–85 (In Russ.). doi: 10.34852/gm3cvkg.2021.56.98.013.
7. Saccheri M.C., Cianciulli T.F., Morita L.A. et al. Speckle tracking echocardiography to assess regional ventricular function in patients with apical hypertrophic cardiomyopathy // World J. Cardiol. 2017. Vol. 9, No. 4. Р. 363–370. doi: 10.4330/wjc.v9.i4.363.
8. Minami Y., Kajimoto K., Terajima Y. et al. Clinical implications of midventricular obstruction in patients with hypertrophic cardiomyopathy // J. Am. Coll Cardiol. 2011. Vol. 57, No. 23, pp. 2346–2355. doi: 10.1016/j.jacc.2011.02.033.
9. Sherkhova M.Kh., Stukalova O.V., Ternovoy S.K. Apical hypertrophic cardiomyopathy. Magnetic resonance imaging in diagnosis. REJR, 2014, Vol. 4, No. 3, pp. 77–80 (In Russ.).
10. Obramenko I.E. Semiotics of apical hypertrophic cardiomyopathy in magnetic resonance Imaging. Regional hemodynamics and microcirculation, 2020, Vol. 19, No. 2, pp. 18–23 (In Russ.). https://doi.org/10.24884/1682-6655-2020-19-2-18-23.
11. Hughes R., Knott K., Malcolmson J. et al. Apical Hypertrophic Cardiomyopathy: The Variant Less Known // JAHA. 2020. Vol. 9, No. 5. e015294. https://doi.org/10.1161/JAHA.119.015294.
12. Vakhromeeva M.N., Solomannikov V.M., Vakhrameeva A.Yu., Sivokhina N.Yu. Cardiac spect in diagnosis of Yamaguchi syndrome. Bulletin of Pirogov National Medical and Surgical Center, 2020, Vol. 15, No. 3, pp. 188–192 (In Russ.). doi: 10.25881/BPNMSC.2020.89.65.034.
13. Lee K.H., Jang H.J., Lee S.C. et al. Myocardial thallium defects in apical hypertrophic cardiomyopathy are associated with a benign prognosis. Thallium defects in apical hypertrophy // Int. J. Cardiovasc. Imaging. 2003. Vol. 19, No. 5. Р. 381–388. doi: 10.1023/a:1025807125699.
14. Morishita S., Kondo Y., Nomura M. et al. Impaired retention of technetium-99m tetrofosmin in hypertrophic cardiomyopathy // Am. J. Cardiol. 2001. Vol. 87, No. 6. Р. 743–747. doi: 10.1016/s0002-9149(00)01494-6.
15. Ward R.P., Pokharna H.K., Lang R.M., Williams K.A. Resting «Solar Polar» map pattern and reduced apical flow reserve: characteristics of apical hypertrophic cardiomyopathy on SPECT myocardial perfusion imaging // J. Nucl. Cardiol. 2003, Vol. 10, No. 5. Р. 506–512. doi: 10.1016/s1071-3581(03)00455-0.
16. Zhou Y., Li D., Tang H. et al. Development and validation of a new method to diagnose apical hypertrophic cardiomyopathy by gated single-photon emission computed tomography myocardial perfusion imaging // Nucl. Med. Commun. 2019. Vol. 40, No. 3. Р. 206–211. doi: 10.1097/MNM.0000000000000967
Review
For citations:
Chanakhchian F.N., Gulyaev N.I., Slivinski D.V., Klochkova I.V., Shutova E.V., Demchenkova A.Yu. Multimodality imaging in apical hypertrophic cardiomyopathy: clinical case. Diagnostic radiology and radiotherapy. 2023;14(3):93-98. (In Russ.) https://doi.org/10.22328/2079-5343-2023-14-3-93-98
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