Cardiac CT angiography in the emergency room: Apical hypertrophic cardiomyopathy presenting as acute coronary syndrome.
Michael C TurnerEdmund K KerutJames MckinnieMichael DavisChristine HintonPublished in: Echocardiography (Mount Kisco, N.Y.) (2017)
A 59-year-old male presented to the emergency room with symptoms of chest tightness and palpitations. Following conversion of atrial fibrillation to sinus rhythm, he had deep symmetrical T-wave changes on his electrocardiogram. Symptoms resolved almost immediately, and his initial troponin was negative. He underwent cardiac CT angiography utilizing an emergency room triage protocol which resulted in a diagnosis of nonobstructive coronary artery disease and apical hypertrophic cardiomyopathy. Following a hospital stay of less than 24 hours, he was discharged to outpatient follow-up on medical management and has remained asymptomatic over 6 months. This case presentation illustrates an example of the diversity of pathology that presents in emergency rooms with symptoms consistent with acute coronary syndrome.
Keyphrases
- hypertrophic cardiomyopathy
- left ventricular
- acute coronary syndrome
- emergency department
- healthcare
- public health
- atrial fibrillation
- percutaneous coronary intervention
- coronary artery disease
- left atrial
- heart failure
- antiplatelet therapy
- mitral valve
- emergency medical
- randomized controlled trial
- aortic stenosis
- sleep quality
- type diabetes
- depressive symptoms
- heart rate
- cardiovascular disease
- physical activity
- oral anticoagulants
- adverse drug
- case report
- aortic valve
- direct oral anticoagulants
- venous thromboembolism
- electronic health record