Yamaguchi Syndrome – a pseudoacute coronary syndrome of the Young: a case report on apical hypertrophic cardiomyopathy

Yamaguchi syndrome, or apical hypertrophic cardiomyopathy (ApHCM), is a nonobstructive subtype of hypertrophic cardiomyopathy which predominantly affects the left ventricular apex. Due to the nature of its presentation that mimics acute coronary syndrome and also to the unfamiliarity of the conditio...

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Main Authors: Alvin Oliver Payus, Farisha Mohd Sholeh, Norlaila Mustafa
Format: Article
Language:English
English
Published: Wolters Kluwer - Medknow 2019
Subjects:
Online Access:https://eprints.ums.edu.my/id/eprint/30861/1/Yamaguchi%20Syndrome_a%20pseudoacute%20coronary%20syndrome%20of%20the%20Young_%20a%20case%20report%20on%20apical%20hypertrophic%20cardiomyopathy.pdf
https://eprints.ums.edu.my/id/eprint/30861/2/Yamaguchi%20Syndrome_a%20pseudoacute%20coronary%20syndrome%20of%20the%20Young_%20a%20case%20report%20on%20apical%20hypertrophic%20cardiomyopathy_ABSTRACT.pdf
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author Alvin Oliver Payus
Farisha Mohd Sholeh
Norlaila Mustafa
author_facet Alvin Oliver Payus
Farisha Mohd Sholeh
Norlaila Mustafa
author_sort Alvin Oliver Payus
collection UMS
description Yamaguchi syndrome, or apical hypertrophic cardiomyopathy (ApHCM), is a nonobstructive subtype of hypertrophic cardiomyopathy which predominantly affects the left ventricular apex. Due to the nature of its presentation that mimics acute coronary syndrome and also to the unfamiliarity of the condition by some physicians, the diagnosis of ApHCM is frequently missed or delayed. Here, we report a case of a young male who presented with chest pain and breathlessness. His cardiac enzyme was normal and electrocardiogram showed giant negative T-waves. He was treated as unstable angina and was then subjected to a line of diagnostic procedures including coronary angiogram before he subsequently underwent ventriculogram which reveal a characteristic “spade-like” configuration over the left ventricle, in keeping with the diagnosis of ApHCM. The purpose of this case report is to emphasize the importance of keeping ApHCM as one of the differential diagnoses in a young patient presented with chest pain.
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spelling ums.eprints-308612021-10-27T23:39:30Z https://eprints.ums.edu.my/id/eprint/30861/ Yamaguchi Syndrome – a pseudoacute coronary syndrome of the Young: a case report on apical hypertrophic cardiomyopathy Alvin Oliver Payus Farisha Mohd Sholeh Norlaila Mustafa RC31-1245 Internal medicine Yamaguchi syndrome, or apical hypertrophic cardiomyopathy (ApHCM), is a nonobstructive subtype of hypertrophic cardiomyopathy which predominantly affects the left ventricular apex. Due to the nature of its presentation that mimics acute coronary syndrome and also to the unfamiliarity of the condition by some physicians, the diagnosis of ApHCM is frequently missed or delayed. Here, we report a case of a young male who presented with chest pain and breathlessness. His cardiac enzyme was normal and electrocardiogram showed giant negative T-waves. He was treated as unstable angina and was then subjected to a line of diagnostic procedures including coronary angiogram before he subsequently underwent ventriculogram which reveal a characteristic “spade-like” configuration over the left ventricle, in keeping with the diagnosis of ApHCM. The purpose of this case report is to emphasize the importance of keeping ApHCM as one of the differential diagnoses in a young patient presented with chest pain. Wolters Kluwer - Medknow 2019 Article PeerReviewed text en https://eprints.ums.edu.my/id/eprint/30861/1/Yamaguchi%20Syndrome_a%20pseudoacute%20coronary%20syndrome%20of%20the%20Young_%20a%20case%20report%20on%20apical%20hypertrophic%20cardiomyopathy.pdf text en https://eprints.ums.edu.my/id/eprint/30861/2/Yamaguchi%20Syndrome_a%20pseudoacute%20coronary%20syndrome%20of%20the%20Young_%20a%20case%20report%20on%20apical%20hypertrophic%20cardiomyopathy_ABSTRACT.pdf Alvin Oliver Payus and Farisha Mohd Sholeh and Norlaila Mustafa (2019) Yamaguchi Syndrome – a pseudoacute coronary syndrome of the Young: a case report on apical hypertrophic cardiomyopathy. Journal of Medical Science, 39. pp. 197-199. ISSN 1011-4564 (P-ISSN) , 2542-4939 (E-ISSN) https://www.jmedscindmc.com/temp/JMedSci394197-3043297_082712.pdf https://doi.org/10.4103/jmedsci.jmedsci_179_18 https://doi.org/10.4103/jmedsci.jmedsci_179_18
spellingShingle RC31-1245 Internal medicine
Alvin Oliver Payus
Farisha Mohd Sholeh
Norlaila Mustafa
Yamaguchi Syndrome – a pseudoacute coronary syndrome of the Young: a case report on apical hypertrophic cardiomyopathy
title Yamaguchi Syndrome – a pseudoacute coronary syndrome of the Young: a case report on apical hypertrophic cardiomyopathy
title_full Yamaguchi Syndrome – a pseudoacute coronary syndrome of the Young: a case report on apical hypertrophic cardiomyopathy
title_fullStr Yamaguchi Syndrome – a pseudoacute coronary syndrome of the Young: a case report on apical hypertrophic cardiomyopathy
title_full_unstemmed Yamaguchi Syndrome – a pseudoacute coronary syndrome of the Young: a case report on apical hypertrophic cardiomyopathy
title_short Yamaguchi Syndrome – a pseudoacute coronary syndrome of the Young: a case report on apical hypertrophic cardiomyopathy
title_sort yamaguchi syndrome a pseudoacute coronary syndrome of the young a case report on apical hypertrophic cardiomyopathy
topic RC31-1245 Internal medicine
url https://eprints.ums.edu.my/id/eprint/30861/1/Yamaguchi%20Syndrome_a%20pseudoacute%20coronary%20syndrome%20of%20the%20Young_%20a%20case%20report%20on%20apical%20hypertrophic%20cardiomyopathy.pdf
https://eprints.ums.edu.my/id/eprint/30861/2/Yamaguchi%20Syndrome_a%20pseudoacute%20coronary%20syndrome%20of%20the%20Young_%20a%20case%20report%20on%20apical%20hypertrophic%20cardiomyopathy_ABSTRACT.pdf
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