Apical hypertrophic cardiomyopathy with subendocardial late gadolinium enhancement in an adolescent

A 17-year-old boy with a history of dyspnea attacks and chest pain was referred to our paediatric cardiology department. Electrocardiogram at presentation showed T-wave inversion in the inferior leads. Cardiovascular magnetic resonance imaging revealed the rare diagnosis of apical hypertrophic cardiomyopathy with subendocardial late gadolinium enhancement, missed by echocardiography.

Automated summary

A 17-year-old boy with a history of dyspnea attacks and chest pain was diagnosed with apical hypertrophic cardiomyopathy, revealed through cardiovascular magnetic resonance imaging. The rare diagnosis was missed by echocardiography, highlighting the importance of different imaging modalities in diagnosing cardiac conditions.