Yamaguchi Syndrome: A Difficult Diagnosis in the Differential Diagnosis of Acute Coronary Syndrome

Authors : Ali BATUR, Hasan Can SAĞLAM, Ahmet KARAKAYA, Bülent ERBİL

Pages : 209-211

Doi:10.18678/dtfd.1293614

View : 54 | Download : 69

Publication Date : 2023-08-30

Article Type : Other Papers

Abstract :Apical hypertrophic cardiomyopathy insert ignore into journalissuearticles values(ApHCM); insert ignore into journalissuearticles values(Yamaguchi Syndrome); with hypertrophy of the ventricular apex constitutes 8% of the hypertrophic cardiomyopathies insert ignore into journalissuearticles values(HCMs);. ApHCM can cause ventricular malignant dysrhythmias, atrial fibrillation, and ischemic chest pain. Definitive diagnosis is made by electrocardiography insert ignore into journalissuearticles values(ECG); and transthoracic echocardiography. A 73-year-old male patient was admitted to the emergency department with chest pain. The patient\`s vital signs were within the normal range. In the ECG, there were giant negative T wave in leads V4-5-6, 0.5 mm ST segment depression, and left ventricular hypertrophy in the inferior derivations. The left ventricular apex thickness was measured as 14 mm insert ignore into journalissuearticles values(reference range: 6-11);. Although the HEART score was 4, the preliminary diagnosis of the patient was determined as ApHCM. Beta-blocker and antiplatelet therapy were started. The mortality and morbidity rates of ApHCM are higher among HCMs. Clinicians should be aware of such ECG and echocardiography findings to prevent possible morbidity and mortality.
Keywords : Apikal, hipertrofik kardiyomiyopati, Yamaguchi sendromu, akut coroner sendrom, ekokardiyografi