{
  "abstract": "The present image shows an echocardiogram depicting a large left ventricular (LV) apical aneurysm (20 cm 2) with spontaneous contrast (figure 1; cine images are provided as videos 1 and 2) in a patient with hypertrophic cardiomyopathy (HCM) whose first presentation was in the seventh decade of her life. The patient presented with a history of dyspnoea and was in periarrest ventricular tachycardia (VT) in the emergency department. Five DC shocks were unsuccessful and she eventually cardioverted with intravenous amiodarone.",
  "authors": [
    {
      "affiliations": [
        "Department of Cardiology, North Middlesex University Hospital NHS Trust, London, UK",
        "Barts Heart Centre, London, UK"
      ],
      "name": "Vinit Sawhney"
    },
    {
      "affiliations": [
        "Department of Cardiology, North Middlesex University Hospital NHS Trust, London, UK"
      ],
      "name": "Oksana Maksunova"
    },
    {
      "affiliations": [
        "Department of Cardiology, North Middlesex University Hospital NHS Trust, London, UK"
      ],
      "name": "Fahad Iqbal"
    },
    {
      "affiliations": [
        "Department of Cardiology, North Middlesex University Hospital NHS Trust, London, UK",
        "Barts Heart Centre, London, UK"
      ],
      "name": "Mark Westwood"
    }
  ],
  "title": "Late presentation of hypertrophic cardiomyopathy with apical aneurysm",
  "uid": "22c14085-88d1-5122-a689-69024eee024a"
}