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[Apical hypertrophic cardiomyopathy as a cause of cardiac insufficiency in an 84-year-old woman--a case report].

Apical hypertrophic cardiomyopathy (ApHCM) is a unique form of hypertrophic cardiomyopathy first described in Japan in 1976. The typical features of ApHCM consist of 'giant' negative T waves in the ECG and a 'spade-like' configuration of the left ventricular cavity detected by imaging techniques. We describe a case of an 84-year-old female in whom heart failure was the first symptom of the disease.