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A clinical case presented, of 6-year follow-up of a patient with apical hypertrophic cardiomyopathy (HCMP) and angina syndrome. The challenges discussed, of differential diagnostics of HCMP and coronary heart disease (CHD) in patient with angina and repolarization disorder on ECG. Specifics of the case presented, was hyperdiagnostics of CHD at the onset of clinical presentation, and intact coronary arteries. In 6 years of follow-up this patient developed coronary lesions required the stentingdoi:10.15829/1560-4071-2018-9-48-53 fatcat:eiowqo7gojhdhp2i7xr4ndxko4