Yiğiner Omer, Cingözbay Bekir Yilmaz, Uz Omer, Cebeci Bekir Sitki
Department of Cardiology, Haydarpaşa Training Hospital, Gülhane Military Medical Academy, Istanbul, Turkey.
Turk Kardiyol Dern Ars. 2009 Dec;37(8):569-71.
Apical hypertrophic cardiomyopathy (HCM) may be overlooked during routine echocardiography. A 54-year-old male patient with dyslipidemia and positive family history presented with atypical chest pain. The 12-lead electrocardiogram showed increased QRS voltage and deep T-wave inversions in precordial leads. Transthoracic echocardiography performed with poor echocardiographic windows demonstrated normal findings. Coronary angiography showed normal coronary arteries. Left ventriculography revealed a spade-like deformity (ace of spades), typical for apical HCM. Cardiac magnetic resonance imaging confirmed the diagnosis.
肥厚型心肌病（HCM）的心尖肥厚型在常规超声心动图检查时可能会被漏诊。一名54岁男性患者，有血脂异常且家族史阳性，出现非典型胸痛。12导联心电图显示胸前导联QRS电压增高及T波深倒置。经胸超声心动图检查时超声窗欠佳，结果显示正常。冠状动脉造影显示冠状动脉正常。左心室造影显示典型的心尖肥厚型心肌病的黑桃样畸形（黑桃A）。心脏磁共振成像确诊了该病。
