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Paper Title: Hypertrophic Cardiomyopathy in two young men: A case series

Authors: Dodiyi-manuel S.T, Ezennaka R.C

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Hypertrophic cardiomyopathy (HCM) is a genetic disease of the myocardium with an autosomal dominant inheritance. The hallmark of HCM is left ventricular hypertrophy (LVH), which usually affects the interventricular septum in an asymmetric fashion; however, almost any pattern of LVH is possible including concentric LVH and hypertrophy localized to only one or two myocardial segments. The diagnosis requires a high index of suspicion because the disease is often asymptomatic and sudden death may be the initial presentation especially in young people.

To highlight the importance of using echocardiography for evaluation of patients presenting with cardiovascular symptoms and the existence of hypertrophic cardiomyopathy in our environment.

The medical record of the patients and relevant literature were reviewed.

Case Reports:
A 29 year old businessman and a 40 year old civil servant both presented with recurrent breathlessness on exertion, dull retrosternal chest pain, regular unprovoked palpitations and light headedness. Transthoracic echocardiography done on both patients revealed HCM.

Hypertrophic cardiomyopathy is a cause of sudden cardiac death (SCD), though it is relatively uncommon, it does occur in our environment and may mimic other cardiac diseases.

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