Korean Circ J.  1986 Jun;16(2):291-298. 10.4070/kcj.1986.16.2.291.

A Case of Hypertrophic Cardiomyopathy with Myocardial Infarction and Normal Coronary Arteriogram

Abstract

Patients with hypertrophic cardiography often complain of chest pain and have electrocardioagrams suggesting myocardial damage or ischemia. Some of three patients have associated coronary arterial atherosclerosis. Transmural myocardial infarction may occur in patients with hypertrophic cardiomyopathy in the absence of significant atherosclerosis of the extramural coronary arteries, about which several pathophysiologic exlpanations were discussed. Presented here, a case of 49-year-old man with hypertrophic cardiomyopathy accompanied with myocardial infarction and angiographically normal coronary arteries is reported. Asymmetric septal hypertrophy, characteristic morphologic abnormality of hypertrophic cardiomyopathy, was progressed to dilated cardiomyopathy after the occurrence myocardial infarction.


MeSH Terms

Atherosclerosis
Cardiomyopathy, Dilated
Cardiomyopathy, Hypertrophic*
Chest Pain
Coronary Vessels
Humans
Ischemia
Middle Aged
Myocardial Infarction*

Cited by  1 articles

A Case of Apical Hypertrophic Cardiomyopathy Combined Acute Myocardial Infarction with Multiple Coronary Thrombosis
Kyung-Tae Jung, Soon-Chang Park, Yoo-Jung Choi, Sang Lee, Kyung-Jin Lee, Jung-Hee Kim, Hyun-Soo Yoon
J Cardiovasc Ultrasound. 2008;16(3):96-98.    doi: 10.4250/jcu.2008.16.3.96.

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