Introduction
Hypertrophic cardiomyopathy (HCM) is a prevalent genetic cardiac
condition, affecting approximately 1 in every 200-500 individuals in the
general population. It is characterized by left ventricular outflow
tract obstruction, observed in up to two-thirds of patients, which can
contribute to progressive heart failure symptoms. Primary aldosteronism
(PA) represents the most common form of secondary hypertension and is
associated with increased cardiovascular risks. Interestingly, reports
suggest that HCM accompanied by hypertension becomes more frequent as
individuals age. This combination often results in significant
hypertrophy of the ventricular septum and walls. In this case study, we
present a patient with a long history of hypertension who experienced
accelerated left ventricular hypertrophy during middle to late stages of
life. This led to reduced systolic function and hemodynamic changes.
Existing literature highlights both an increased occurrence and poor
prognosis for this particular complication [1].
To our knowledge, cases involving HCM accompanied by secondary
hypertension caused by PA leading to significant hypertrophy of the left
ventricle, particularly the ventricular septum, have been rarely
reported. We provide this case report following the CARE reporting
checklist guidelines.