Yamaguchi syndrome-A pseudoacute coronary syndrome of the young: A case report on apical hypertrophic cardiomyopathy

Alvin Payus, Farisha Sholeh, Norlaila Mustafa

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)197-199
Number of pages3
JournalJournal of Medical Sciences (Taiwan)
Volume39
Issue number4
DOIs
Publication statusPublished - 1 Jul 2019

Fingerprint

Hypertrophic Cardiomyopathy
Chest Pain
Unstable Angina
Acute Coronary Syndrome
Dyspnea
Heart Ventricles
Angiography
Electrocardiography
Differential Diagnosis
Young Syndrome
Physicians
Enzymes

Keywords

  • acute coronary syndrome
  • giant-negative T-wave
  • hypertrophic cardiomyopathy
  • unstable angina
  • Yamaguchi syndrome

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Yamaguchi syndrome-A pseudoacute coronary syndrome of the young : A case report on apical hypertrophic cardiomyopathy. / Payus, Alvin; Sholeh, Farisha; Mustafa, Norlaila.

In: Journal of Medical Sciences (Taiwan), Vol. 39, No. 4, 01.07.2019, p. 197-199.

Research output: Contribution to journalArticle

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