Apical hypertrophic cardiomyopathy with apical necrosis and aneurysm formation.

Apical hypertrophic cardiomyopathy, characterized by giant T-waves and spade-shaped left ventricular cavity is prevalent in Oriental people, particularly the Japanese. We report an asymptomatic case of apical hypertrophic cardiomyopathy progressing to myocardial necrosis and aneurysm formation because of the chronic myocardial ischemia at the apex.