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Advanced imaging for risk stratification of sudden death in hypertrophic cardiomyopathy
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  • Published on: 12 May 2020
    APICAL ANEURYSM ? OR TRANSIENT APICAL BALLOONING ? : A POTENTIAL DILEMMA IN RISK-STRATIFICATION OF HYPERTROPHIC CARDIOMYOPATHY
    • KENAN YALTA, Cardiologist Trakya University
    • Other Contributors:
      • MUHAMMET GURDOGAN, cardiologist
      • ORKIDE PALABIYIK, Biophysicist

    APICAL ANEURYSM ? OR TRANSIENT APICAL BALLOONING ? : A POTENTIAL DILEMMA IN RISK-STRATIFICATION OF HYPERTROPHIC CARDIOMYOPATHY

    Kenan YALTA, MD a
    Muhammet GURDOGAN, MD a
    Orkide PALABIYIK, MD b

    a,Trakya University, Cardiology Department, Edirne, TURKEY
    b Trakya University, Department of Biophysics, Edirne, TURKEY
    Corresponding Author: Kenan YALTA Trakya University, Cardiology Department, Edirne, TURKEY
    Email- kyalta@gmail.com, akenanyalta@trakya.edu.tr Phone: 00905056579856

    Left ventricular apical aneurysm (LVAA) formation in the setting of hypertrophic cardiomyopathy (HCM) usually appears to be associated with a significant mid-ventricular obstruction, and is potentially associated with adverse cardiovascular events (1). In their recently published article (1), Ramchand J et al have suggested LVAA as a major risk marker in this setting. Though we fully agree with the authors on this point, we would like to draw attention to certain other conditions including transient LV apical ballooning that might strongly mimick LVAA leading to a potential misdiagnosis in patients with HCM:
    Takotsubo cardiomyopathy (TTC) presenting with a transient apical ballooning pattern has been recently suggested to have a pure mechanical basis in certain patients with pre-existing structural heart diseas...

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    Conflict of Interest:
    None declared.