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Apical H. Cardiomyopathy (ApHCM — a special variant of HCM, often called Yamaguchi syndrome. --- 1--Definition & Epidemiology A variant of hypertrophic cardiomyopathy characterized by predominant hypertrophy of the left ventricular (LV) apex, producing a "spade-like" configuration of the LV cavity on ventriculography/echo/MRI. More common in East Asian populations (esp. Japan), but also seen worldwide. Often diagnosed later in life compared to classic septal HCM. --- 2--Pathophysiology Genetic b
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Apical H. Cardiomyopathy (ApHCM — a special variant of HCM, often called Yamaguchi syndrome. --- 1--Definition & Epidemiology A variant of hypertrophic cardiomyopathy characterized by predominant hypertrophy of the left ventricular (LV) apex, producing a "spade-like" configuration of the LV cavity on ventriculography/echo/MRI. More common in East Asian populations (esp. Japan), but also seen worldwide. Often diagnosed later in life compared to classic septal HCM. --- 2--Pathophysiology Genetic b
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🫀 Aneurysmal LV Apex with Small Apical Clot – Echo Insight 🔍 What It Means: An aneurysmal LV apex refers to a thin-walled, dyskinetic or akinetic outpouching of the left ventricular apex, often resulting from a transmural myocardial infarction. When this region shows spontaneous echo contrast or thrombus, it's due to stagnant blood flow within the aneurysm — a known site for mural clot formation. 📷 Key Echo Findings: 🔸 Apical Aneurysm: – Thinned, outward-bulging apex – Dyskinetic or akinetic
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