Method
Physical examination on admission revealed heart rate of 70 beats per minute and blood pressure of 130/80 mm Hg. His ECG on admission revealed ST segment elevation in inferior leads (Fig. 1). Initial hematologic indicates and biochemical parameters were normal limits. Transthoracic echocardiography revealed extensive myocardial hypertrophy with normally ventricular function(Figure-1). Patient transferred to coronary care unit to observation. Initial and 6 hours later troponin measurements were normally limit. After the observation patient diagnosed with hypertrophic cardiomyopathy (HCM) beta-blocker therapy was initiated indefinitely and patient discharged to hospital 2 days from admission, and at 6 months follow-up, he was asymptomatic.