Apical Hypertrophic Cardiomyopathy

Apical hypertrophic cardiomyopathy (apical HCM) is a rare variant of hypertrophic cardiomyopathy with a prevalence of 1-2 % in Asian population and carries a benign prognosis both in Asian and Japanese. It is usually silent in early stages and manifest in adults with a suspicion of typical ECG changes of giant T wave inversion in left precordial leads. Transthoracic echocardiography is the mainstay of non-invasive diagnosis and provide a heterogeneous appearance of it’s morphological features with a spade shaped LV (left ventricular cavity). Background of this case study described the echocardiographic manifestations of apical HCM in a 54 –year old asymptomatic male.