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 4 Cardiovascular magnetic resonance (MRI) and hypertrophy dimensions showing apical-predominant distribution without left ventricular outflow tract(LVOT) obstruction. (A) Cardiac MRI reveals increased myocardial thickness in the infero-septal medial segment and throughout the apical portion, measuring between 16 and 19 mm, with maximum thickness at the apical septal segment. (B) No obstruction of the LVOT. Findings are consistent with apical hypertrophic cardiomyopathy. LV – left ventricle.