1. King of Hearts for Ace of Spades: Apical Hypertrophic Cardiomyopathy
Daku Siewe, Kyle B. Nichols, MD, Scott L. Furney, MD, Laszlo Littmann, MD 
The American Journal of Medicine 
Volume 127, Issue 1, Pages (January 2014)
DOI: /j.amjmed
Copyright © 2014 Elsevier Inc. Terms and Conditions

2. Figure 1
The electrocardiogram obtained on the patient's presentation demonstrated deep, symmetrical, negative T waves in the precordial leads.
The American Journal of Medicine  , 31-33DOI: ( /j.amjmed )
Copyright © 2014 Elsevier Inc. Terms and Conditions

3. Figure 2
An echocardiogram and a contrast echocardiogram showed predominant apical hypertrophy and a narrowing of the left ventricular cavity at the apex, resulting in a so-called ace of spades morphology. In the echocardiogram, the left ventricular cavity is displayed in black; in the contrast echocardiogram, the left ventricular cavity is white. Arrows indicate the cavity diameter at the apex and the base, and dotted lines illustrate the significant left ventricular wall thickening at the apex.
The American Journal of Medicine  , 31-33DOI: ( /j.amjmed )
Copyright © 2014 Elsevier Inc. Terms and Conditions