A clinical case of apical hypertrophic cardiomyopathy (HCM) in 44‑years old man is presented. In this patient exercise ECG testing and 24‑hour ECG monitoring revealed exercise-induced ST depression in the angiographically confirmed absence of coronary atherosclerosis. The uncommonness of this observation was the combination of HCM with a rare anomaly of coronary arteries origin.
Keywords: apical hypertrophic cardiomyopathy; coronary angiography; coronary artery abnormality; coronary computed tomography; magnetic resonance imaging.