{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,14]],"date-time":"2024-07-14T00:17:21Z","timestamp":1720916241077},"reference-count":0,"publisher":"Pakistan Medical Association","issue":"6 (Supple)","license":[{"start":{"date-parts":[[2024,7,7]],"date-time":"2024-07-07T00:00:00Z","timestamp":1720310400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Pak Med Assoc"],"abstract":"<jats:p>Symptoms of apical hypertrophic cardiomyopathy(ApHCM) can mimic acute myocardial infarction (AMI).Following COVID-19 infection, the elevation of troponinin ApHCM might be confusing, due to its similarity withAMI. We report the case of a 64-year-old male patientpresenting with exertional dyspnoea and chestdiscomfort. He had no history of coronary artery disease(CAD), but his swab test was positive for COVID-19. Thephysical examination was normal. The 12-leadelectrocardiogram showed a sinus rhythm of 78 bpm,with deep inverted T waves in leads V2 to V6, I, and aVL,and left ventricular hypertrophy. An Echocardiographicexamination showed an 18 mm apical wall thickness ofthe left ventricle. Laboratory tests revealed elevated hs-Troponin level, but diagnostic coronary angiography wasnormal. The diagnostic criteria fulfilled apical cardiachypertrophic cardiomyopathy. Coronavirus can induceatypical cardiovascular symptoms in pre-existing ApHCM.Misdiagnosis and failure to recognize may result ininappropriate therapy and delay in definitive treatment.Keywords: Troponin, COVID-19, Echocardiography,Electrocardiography, Hypertrophy, Angiography,Dyspnea, Infarction<\/jats:p>","DOI":"10.47391\/jpma.s6-acsa-13","type":"journal-article","created":{"date-parts":[[2024,7,13]],"date-time":"2024-07-13T13:58:08Z","timestamp":1720879088000},"page":"S69-S72","source":"Crossref","is-referenced-by-count":0,"title":["Myocardial injury mimicking acute myocardial infarction due to coronavirus infection in adults with pre-existing apical hypertrophic cardiomyopathy"],"prefix":"10.47391","volume":"74","author":[{"family":"Radityo Bagus Wicaksono","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Mochamad Yusuf Alsagaff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"family":"Ricardo Adrian Nugraha","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"26547","published-online":{"date-parts":[[2024,7,7]]},"container-title":["Journal of the Pakistan Medical Association"],"original-title":[],"link":[{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/download\/21460\/3397","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/download\/21460\/3397","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,13]],"date-time":"2024-07-13T13:58:08Z","timestamp":1720879088000},"score":1,"resource":{"primary":{"URL":"https:\/\/jpma.org.pk\/index.php\/public_html\/article\/view\/21460"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,7]]},"references-count":0,"journal-issue":{"issue":"6 (Supple)","published-online":{"date-parts":[[2024,7,13]]}},"URL":"https:\/\/doi.org\/10.47391\/jpma.s6-acsa-13","relation":{},"ISSN":["0030-9982","0030-9982"],"issn-type":[{"value":"0030-9982","type":"electronic"},{"value":"0030-9982","type":"print"}],"subject":[],"published":{"date-parts":[[2024,7,7]]}}}