Apical hypertrophic obstructive cardiomyopathy: a rare entity

Abstract

A sixty years old male weighing 80 kg presented to us for FESS (fiberoptic endoscopic sinus surgery). Patient was clinically asymptomatic for any cardiac illness with good effort tolerance. Pre-operative ECG showed global deep T-wave inversion in lead II & lead V of the ECG [Figure 1] for which a cardiology referral was sought. The ECHO report was normal as per the cardiologist and no further cardiology intervention was advised.