Apical aneurysm with thrombus in an elderly patient with hypertrophic obstructive cardiomyopathy
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A 78-year old woman was admitted for pre-syncope and chest discomfort. She reported dyspnea on exertion for the past 2 months. There was no history of hypertension or familial heart disease and she was not taking any medications.
On admission she had normal saturations at rest and a blood pressure of 100/70 mmHg. Her pulse was 75 bpm and regular. There was a 4/6 diamond shape harsh systolic murmur audible in the left sternal border and on palpation there was left lateral displacement of the point of maximal impulse. Lungs were clear to auscultation and there was no edema.
KeywordsHypertrophic cardiomyopathy Midventricular obstruction Apical aneurysm Thrombus Elderly
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