Apical Hypertrophic Cardiomyopathy Misdiagnosed as Hypertensive Heart Disease Due to Anchoring Bias in an African Man: A Case Report
James Nelson Okema, Chigozie Chukwuocha, Ebirim Danvictor, Clinton Nwanaga Uche, Chigozie Charles Ekengwu, Jovita Eghe Egharevba, Esther Oniagba Ebunoluwa, Felix Bongomin · 2026
Read Apical Hypertrophic Cardiomyopathy Misdiagnosed as Hypertensive Heart Disease Due to Anchoring Bias in an African Man: A Case Report by James Nelson Okema, Chigozie Chukwuocha, Ebirim Danvictor, Clinton Nwanaga Uche, Chigozie Charles Ekengwu, Jovita Eghe Egharevba, Esther Oniagba Ebunoluwa, Felix Bongomin (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13271135.txt.
Description
James Nelson Okema is lead author of a 2026 case report on apical hypertrophic cardiomyopathy, a heart muscle disease focused at the tip of the heart, in a 60-year-old African man. The condition makes up roughly five to ten percent of hypertrophic cardiomyopathy cases and is often mistaken for high blood pressure damage, especially where advanced heart scans are unavailable.
The man, hypertensive for 15 years, came in with breathlessness on effort and palpitations. His heart tracing showed deep T-wave inversions without the usual voltage signs of thickened walls. Ultrasound showed an 18-millimetre apex against an 11-millimetre back wall, in the classic ace-of-spades shape. Wrong extra drugs were stopped, a beta blocker was adjusted, and symptoms cleared within two weeks.
Catalog record
| CREATOR | James Nelson Okema, Chigozie Chukwuocha, Ebirim Danvictor, Clinton Nwanaga Uche, Chigozie Charles Ekengwu, Jovita Eghe Egharevba, Esther Oniagba Ebunoluwa, Felix Bongomin |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 27894 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |