Hypertrophic Obstructive Cardiomyopathy Present as Acute Myocardial Infarction in a Nonagenarian - PubMed
4 hours ago
- #Elderly patients
- #Hypertrophic obstructive cardiomyopathy
- #Acute coronary syndrome
- Hypertrophic obstructive cardiomyopathy (HOCM) can mimic acute myocardial infarction, posing diagnostic challenges.
- A 95-year-old male presented with symptoms suggesting left main disease, but imaging revealed no significant ischemia.
- Physical examination and echocardiography confirmed HOCM with asymmetric septal hypertrophy and a left ventricular outflow tract gradient of 40 mm Hg.
- Treatment with bisoprolol and mavacamten led to significant symptomatic improvement.
- HOCM should be considered a differential diagnosis for acute coronary syndrome in elderly patients.
- Cardiac auscultation and multimodal imaging are crucial to avoid misdiagnosis.