Acute coronary syndrome without ST segment elevation in a patient with familial hypertrophic cardiomyopathy - a case report

Acute coronary syndrome without ST segment elevation in a patient with familial hypertrophic cardiomyopathy: A case of a 46-year-old male with hypertrophic cardiomyopathy and cardioverter-defibrillator implanted due to a history of syncopal sustained ventricular tachycardia, is presented. The patient had undergone coronary angiography two years before current hospitalisation which showed normal coronary arteries. This time the patient was admitted to the hospital due to a typical chest pain. ECG showed predominantly paced QRS complexes and negative T waves in V2-V6 which were present on ECG recorded a few months earlier. Troponin I plasma concentration was significantly elevated. Coronary angiography revealed critical stenosis of the left anterior descending coronary artery which was successfully treated with angioplasty and stent implantation. Diagnosis and treatment of patients with hypertrophic cardiomyopathy are discussed