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Apical Hypertrophic Cardiomyopathy
(A) A 12-lead electrocardiogram showing left ventricular hypertrophy and giant negative T-waves in precordial and inferolateral leads. (B) At 2D-echocardiography, the apical aneurysm becomes clearly evident in end-systolic apical 2-chamber view. (C) Speckle tracking analysis highlights the contractile impairment of the apex. (D) CMR image showing late gadolinium enhancement in the apical aneurysm. CMR = cardiac magnetic resonance.
