BRIDGING WITH ACE OF SPADE MIMICKING AS RECURRENT ACS: RECURRENT CHEST PAIN MIMICKING ACUTE CORONARY SYNDROME IN PATIENT WITH APHCM (YAMAGUCHI SYNDROME) AND MYOCARDIAL BRIDGING

Apical hypertrophic cardiomyopathy (ApHCM) known as Yamaguchi syndrome is the least common type of HCM. It is more common in Japaneses population (15-25%) than others. (US ~3%). It has distinct diagnostic features on EKG, echo and cardiac catheterization. Diagnosis is challenging as most of the