Zafer Işılak Ömer Uz Mehmet Uzun Bekir Sıtkı Cebeci

Zafer Işılak Ömer Uz Mehmet Uzun Bekir Sıtkı Cebeci

Department of Cardiology, Gulhane Military Medical Academy,

Haydarpasa Hospital, Istanbul, Turkey

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A 21-year-old male with atypical chest pain was referred to our emergency department. The clinical examination was unre- markable. Electrocardi- ography showed a 1- to 2-mm ST-segment eleva- tion and deep inversion of the T-wave segment in the inferior leads, and a slight T wave inversion in leads 9-9 )ig. A. &ardiac enzymes were found in the blood at low levels. There



was no evidence of ventricular dysfunction, and left ventricular regional wall motion abnormalities on two-dimensional echocardiography examination. The papillary muscles were hypertrophic in the paraster- nal long-axis and parasternal short-axis view (Figs.

B, C). Coronary angiography and myocardial perfu- sion scintigraphy results were normal. A cardiac MRI was performed to con¿rm the diagnosis and exclude other etiologies. Cardiac magnetic resonance imaging (MRI) demonstrated marked thickening of the papil- lary muscles, con¿rming papillary muscle hypertro- phy (Fig. '). A speci¿c treatment was not reTuired in our patient who was informed about his cardiac abnormality.

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