At the emergency room, advanced ages with chest pain and ST-T changes in the electrocardiogram (ECG) could be easily considered as acute coronary syndrome (ACS) and transferred to catheterization laboratory for urgent coronary angiogram (CAG). In our case, these patients were finally diagnosed as apical hypertrophic cardiomyopathy (AHCM) after urgent CAG subsequent to echocardiogram. AHCM is common in Asian populations and it represents a condition may mimic ACS. We report two elderly cases of AHCM who presented with chest pain mimicking an ACS in the emergency room and review the literature on the late development of AHCM. Chest pain and ST-T changes in the electrocardiogram (ECG) could be easily regarded as acute coronary syndrome (ACS) in the emergency room. However, the correlation between the ST-T change in the ECG and late development of Apical Hypertrophic Cardiomyopathy (AHCM) is still unknown. Ki- Woon Kang, Apical Hypertrophic Cardiomyopathy Presenting Mimicking Acute Coronary Syndrome at an Advanced Age.
Last date updated on June, 2014