Diagnosis of apical hypertrophic cardiomyopathy using contrast echocardiography

Apical hypertrophic cardiomyopathy is a disease with clear electrocardiogra phic and echocardiographic characteristics. However, poor visualization of apical endocardial border is a limiting factor to diagnose apical hypertrop hic cardiomyopathy by echocardiography. We present a case report of a patie nt with a characteristic electrocardiogram but poor apical endocardial bord er delineation. A contrast-enhanced echocardiography was performed to confi rm the diagnosis of apical hypertrophic cardiomyopathy. We discuss the role of echocardiographic image enhancement with contrast to diagnose apical hy pertrophic cardiomyopathy.