Regression of Left Ventricular Hypertrophy in a Case of Adult Hypertrophic Cardiomyopathy: Importance of Clinical Context at Initial Diagnosis

Zach Liang, Rajiv Ananthakrishna, Joseph B. Selvanayagam

Research output: Contribution to journalArticlepeer-review

Abstract


A 24-year-old male with no significant past medical or family history of cardiovascular or neurological disease presented with bilateral paresthesia and weakness of his upper and lower limbs, along with a left facial droop. A few days later he developed a persistent dull left-sided chest pain that was not pleuritic, positional, or exertional in nature. He was initially evaluated in a regional primary health care centre and referred 3weekslater to a tertiary care hospital. The workup of the patient—including extensive genetic testing and family screening—led to the diagnoses of mild Guillain-Barré syndrome (GBS) with associated Bell’s palsy, as well as hypertrophic cardiomyopathy (HCM). Cardiac troponins were not performed in the regional primary health care centre during the episode of chest pain. However, electrocardiography (ECG) displayed normal sinus rhythm and widespread T-wave inversion (Figure 1A).
Original languageEnglish
Pages (from-to)e151-e152
Number of pages2
JournalHeart Lung and Circulation
Volume31
Issue number11
DOIs
Publication statusPublished - Nov 2022

Keywords

  • Hypertrophic cardiomyopathy
  • Left ventricular hypertrophy

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