50 male hypertension, former smoker who presents for evaluation of chest pain found to have concern for apical hypertrophic cardiomyopathy on exercise stress echocardiogram
Stress testing, Treadmill exercise stress echocardiogram with ischemic ECG changes but no
evidence of inducible myocardial ischemia by symptoms, or echo findings at a
non-diagnostic level of peak stress (achieved 81% of maximal age-predicted
heart rate) and low workload (<6.1 METS). Exercise capacity is below average
when referenced to age and gender. Normal heart rate and blood pressure
response with exercise.
Resting echocardiography demonstrates increased apical wall thickness with
spade shaped ventricle. This along with his resting ECG, are suggestive of
apical hypertrophic cardiomyopathy.