Impending Myocardial Infarction in a Patient with Marked Left Ventricular Hypertrophy and Normal Coronary Arteriogram—A Case Report:

A middle-aged woman with long-term uncontrolled arterial hypertension de veloped a clinical picture of impending myocardial infarction. A normal coro nary arteriogram was obtained. However, left heart catheterization showed a marked increase in left ventricular end-diastolic pressure, while left angiocardi ography revealed marked left ventricular hypertrophy. She was successfully treated with a beta-blocking and calcium-antagonist agent. The present case shows that an impending myocardial infarction may occur in patients having normal coronary arteriogram but with left ventricular hypertrophy secondary to arterial hypertension.