Hypertrophic Cardiomyopathy

Case of the Day 120 - The Universal Ischemia of Apical HCM

Ischemia in apical HCM appears to be universal and may be manifest at presentation or on follow-up.

Bhavin Jankharia

Oct 19, 2025 — 2 min read

65-yrs old was diagnosed to have apical HCM without fibrosis in 2017.

8 years later, a repeat MRI shows apical aneurysm and fibrosis due to ischemia.

Ischemia in apical HCM appears to be universal and may be manifest at presentation or on follow-up

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A common clinical presentation of LBBB induced cardiomyopathy is described in this post. It is always dilemma that if LBBB is cause or effect of dilated cardiomyopathy. However CMR can help in differentiating it from other causes and also in predicting response to device therapy. Utilise CMR to the fullest.

Hope it fades..!

COD 077 - Decoding Septum Predominant Hypertrophic Cardiomyopathy

Understanding standard septum predominant HCM