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Cardiac CT angiography in the emergency room: Apical hypertrophic cardiomyopathy presenting as acute coronary syndrome
Author(s) -
Turner Michael C.,
Kerut Edmund K.,
Mckinnie James,
Davis Michael,
Hinton Christine
Publication year - 2017
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.13499
Subject(s) - medicine , palpitations , acute coronary syndrome , cardiology , emergency department , hypertrophic cardiomyopathy , asymptomatic , sinus rhythm , cardiomyopathy , chest pain , atrial fibrillation , coronary artery disease , troponin , triage , myocardial infarction , emergency medicine , heart failure , psychiatry
A 59‐year‐old male presented to the emergency room with symptoms of chest tightness and palpitations. Following conversion of atrial fibrillation to sinus rhythm, he had deep symmetrical T‐wave changes on his electrocardiogram. Symptoms resolved almost immediately, and his initial troponin was negative. He underwent cardiac CT angiography utilizing an emergency room triage protocol which resulted in a diagnosis of nonobstructive coronary artery disease and apical hypertrophic cardiomyopathy. Following a hospital stay of less than 24 hours, he was discharged to outpatient follow‐up on medical management and has remained asymptomatic over 6 months. This case presentation illustrates an example of the diversity of pathology that presents in emergency rooms with symptoms consistent with acute coronary syndrome.