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.