UNASSIGNED: @entity384 of segment of the left ventricle in the absence of @entity301 has been reported and termed diverticulum, which appears to be a @entity154 . A 56-year-old white female was admitted to our hospital with @entity662 that has been intermittent over the past 1 month. The @entity158 was described as exertional, substernal and pressure-like in quality, radiating to left arm and jaw, and lasting approximately 30 minutes each episode; it was associated with @entity1353 . She has had approximately 10 such episodes in the past 1 month. The @entity1 denied any @entity1296 , palpitations, @entity8632 ( @entity8632 ). She has had a history of @entity101 for many years, however has not been compliant with her medications for the past 6 months. On admission, vital signs revealed blood pressure of 185/100 mm Hg, and regular heart rate of 94 beats per minute. Physical examination revealed a normal body habitus. Cardiac examination revealed no murmurs or extra cardiac sounds on auscultation. The pulmonary and abdomen examinations were unremarkable. The chest radiograph was normal. The electrocardiogram showed sinus rhythm, with borderline prolongation of the QT interval. The laboratory test results, including cardiac enzymes, were normal. Transthoracic echocardiography (TTE) revealed normal left ventricular systolic function, with localized dyskinesis of the apex. No significant @entity340 were identified. Coronary angiography revealed angiographically normal coronary arteries; left ventriculography showed abnormal apical "filling defect" consistent with an @entity439 . A repeat echocardiogram using Definity contrast revealed left ventricular apical diverticulum with hypertrabeculation. The @entity1 was placed on antihypertensive medications with resolution of her @entity662 , and was able to ambulate comfortably. The @entity1 was counseled thoroughly on the importance of compliance with her medications. This case describes an apical left ventricular diverticulum found incidentally and demonstrated on contrast echocardiography in a @entity1 with @entity662 .

XXXX With Apical Diverticulum in the Absence of Coronary Disease: Case Report and Review of the Literature.

@entity662 :: ('MESH:D002637', 'Disease') :: ['chest pain'] @entity154 :: ('MESH:D000013', 'Disease') :: ['congenital anomaly'] @entity1 :: ('9606', 'Species') :: ['patient'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity301 :: ('MESH:D003327', 'Disease') :: ['coronary disease'] @entity1353 :: ('MESH:D004417', 'Disease') :: ['shortness of breath'] @entity384 :: ('MESH:D002311', 'Disease') :: ['Aneurysmal dilatation'] @entity8632 :: ('MESH:D004418', 'Disease') :: ['syncope, orthopnea or paroxysmal nocturnal dyspnea', 'PND'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysm'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity1296 :: ('MESH:D004244', 'Disease') :: ['dizziness'] @entity340 :: ('MESH:D006349', 'Disease') :: ['valvular abnormalities']
@entity662 :: (MESH:D002637,Disease) :: ['Chest Pain']
