Parisi Rosario, Mirabella Francesca, Secco Gioel Gabrio, Fattori Rossella
Rosario Parisi, Francesca Mirabella, Gioel Gabrio Secco, Rossella Fattori, Interventional Cardiology, AO Ospedali Riuniti Marche Nord, 61121 Pesaro, Italy.
World J Cardiol. 2014 Sep 26;6(9):916-23. doi: 10.4330/wjc.v6.i9.916.
Apical hypertrophic cardiomyopathy (AHCM) is a relatively rare morphologic variant of HCM in which the hypertrophy of myocardium is localized to the left ventricular apex. Symptoms of AHCM might vary from none to others mimic coronary artery disease including acute coronary syndrome, thus resulting in inappropriate hospitalization. Transthoracic echocardiography is the first-line imaging technique for the diagnosis of hypertrophic cardiomyopathies. However, when the hypertrophy of the myocardium is localized in the ventricular apex might results in missed diagnosis. Aim of this paper is to review the different imaging techniques used for the diagnosis of AHCM and their role in the detection and comprehension of this uncommon disease.
心尖肥厚型心肌病（AHCM）是肥厚型心肌病（HCM）一种相对罕见的形态学变异类型，其中心肌肥厚局限于左心室心尖部。AHCM的症状可能从无症状到类似冠状动脉疾病（包括急性冠状动脉综合征）的其他症状不等，从而导致不适当的住院治疗。经胸超声心动图是诊断肥厚型心肌病的一线成像技术。然而，当心肌肥厚局限于心尖时可能会导致漏诊。本文的目的是综述用于诊断AHCM的不同成像技术及其在检测和理解这种罕见疾病中的作用。
