Ectasia and slow flow phenomena of coronary artery related to apical hypertrophic cardiomyopathy.
Elahenaz Parsi MoodMasoomeh KahnoojiMaryam AliramezanyPublished in: Clinical case reports (2023)
Hypertrophic cardiomyopathy-related coronary artery ectasia and slow flow phenomena is an extremely rare association that can cause manifestations of ischemic heart disease in patients. Distinguishing these cases and prompt diagnosis and treatment can prevent possible complications. In this current case, a 72-year-old man complaining of typical exertional dyspnea for 6 months was admitted to the hospital in December 2022. An echocardiogram was conducted and revealed apical hypertrophic cardiomyopathy. A coronary angiogram showed ectasia and slow flow pattern in the coronary artery without significant stenosis. The patient was diagnosed with hypertrophic cardiomyopathy associated with ectasia via electrocardiography, echocardiography, and coronary angiography. Medical treatment was started for the patient. The patient did not appear to suffer from dyspnea or other symptoms during the follow-up period.
Keyphrases
- hypertrophic cardiomyopathy
- coronary artery
- left ventricular
- pulmonary artery
- case report
- end stage renal disease
- healthcare
- heart failure
- ejection fraction
- newly diagnosed
- chronic kidney disease
- coronary artery disease
- risk factors
- single cell
- palliative care
- prognostic factors
- emergency department
- peritoneal dialysis
- depressive symptoms
- adverse drug
- advanced cancer
- pulmonary arterial hypertension
- patient reported outcomes
- combination therapy
- electronic health record