Chest Discomfort, Abnormal Electrocardiogram, Clean Coronaries

• Apical hypertrophic cardiomyopathy symptoms and electrocardiography can be confused with myocardial infarction.
• Giant negative T waves and left ventricular hypertrophy are key electrocardiographic changes
• The left ventricle is shaped like an “ace of spades” on imaging due to apical hypertrophy.
• Lack of left ventricular outflow tract obstruction leads to fewer symptoms and better prognosis.
• Treatment is primarily medical, not surgical.