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European Heart Journal 1984 5(10):824-828;
Copyright © 1984 by the European Society of Cardiology.
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© 1984 The European Society of Cardiology

Apical hypertrophic cardiomyopathy and ventricular tachycardia

Y. L. DOI, N. HAMASHIGE, Y. YONEZAWA and T. OZAWA

Section of Cardiology, Department of Medicine and Genatrics, Kochi Medical School Kochi, Japan

Received 31 January 1984; revised 16 July 1984; .

Address for correspondence: Yoshinori L. Doi, M.D., The Section of Cardiology, Kochi Medical School Hospital, Oko-cho, Nankoku-shi, Kochi 781-51, Japan

Abstract

Apical hypertrophic cardiomyopathy was originally reported from Japan as one of the subsets of hypertrophic cardiomyopathy without gradient, usually associated with deep T-wave inversion and a spade-like appearance of the left ventricle. Although many reports from Japan have indicated that these patients with apical hypertrophic cardiomyopathy are mostly asymptomatic and have relatively good prognosis, data on serious ventricular arrhythmias are not yet available. Present documentation of ventricular tachycardia in a patient with this disease suggests that at least some of such patients are also at risk of sudden death and that a systematic study for life-threatening arrhythmia by ambulatory electrocardiographic monitoring may be necessary in these cases.

Key Words: Apical hypertrophic cardiomyopathy • ventricular tachycardia • sudden death • ambulatory electrocardiographic monitoring


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