Apical Hypokinesis in a Patient with Hypertrophic Cardiomyopathy and Myocardial Bridging: Reversal with Beta-Blockade A Case Report

• Published in: Angiology Vol. 50; no. 5; pp. 409 - 415
• Main Authors: Rentoukas, Elias I., Deftereos, Spiros G., Alpert, Martin A., Nikas, Dimitris J., Lazaros, George A., Petropoulou, Evdokia N., Zacharoulis, Apostolos A., Rentoukas, Elias
• Format: Journal Article
• Language: English
• Published: Thousand Oaks, CA SAGE Publications 01.05.1999; Westminster; SAGE PUBLICATIONS, INC
• Subjects: Adrenergic beta-Antagonists - therapeutic use; Adult; Atenolol - therapeutic use; Biological and medical sciences; Cardiology. Vascular system; Cardiomyopathy, Hypertrophic - complications; Cardiomyopathy, Hypertrophic - diagnostic imaging; Cardiomyopathy, Hypertrophic - physiopathology; Coronary Disease - complications; Coronary Disease - diagnostic imaging; Coronary Disease - drug therapy; Coronary Disease - physiopathology; Coronary heart disease; Heart; Humans; Male; Medical sciences; Myocardial Contraction; Ultrasonography; Sonography; Antianginal agent; Human; Echocardiography; Hypokinesia; Clinical form; Cardiovascular disease; Angina pectoris; Atenolol; Coronary heart disease; Myocardial disease; Case study; Bridges; Heart disease; Hypertrophic cardiomyopathy; Myocardium; Apex; Beta blocking agent
• ISSN: 0003-3197; 1940-1574
• DOI: 10.1177/000331979905000507

A 42-year-old man presented with effort angina pectoris of 20 minutes' duration. Hypertrophic obstructive cardiomyopathy, severe myocardial bridging involving the midleft anterior descending coronary artery, and apical hypokinesis were identified. Regional wall motion normalized following the initiation of beta blockade.