31 October 2025
: Case report 
Apical Hypertrophic Cardiomyopathy: Diagnostic Challenges in a Patient with Hypertension and Obstructive Sleep Apnea
Challenging differential diagnosis, Unusual or unexpected effect of treatment, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)
Jordan Llerena-Velastegui
ACDEF 1,2,3*, Daniela Benitez-Gutierrez ABCD 4, Diego Benitez-Zapata ABCDEF 5, Camila Escobar-Andrade EF 6, Daniela Corral-Hidalgo EF 6
DOI: 10.12659/AJCR.950268
Am J Case Rep 2025; 26:e950268
Figure 3 Cardiovascular magnetic resonance (MRI) 4-chamber views showing apical geometry and fibrosis assessment(A) Four-chamber cardiac MRI shows loss of apical tapering with relative, but not absolute, apical hypertrophy in diastole. (B) Systolic apical cavity obliteration. (C) Presence of late gadolinium enhancement in hypertrophied apical myocardium. LV – left ventricle.