Introduction Apical hypertrophic cardiomyopathy (AHCM) is a condition that primarily involves the apex of the left ventricle. Two of its main characteristics are a non-obstructive physiology and apical hypertrophy of the left ventricle with giant negative T waves. AHCM is uncommon, and its prevalence is notably affected by ethnicity. The diagnosis is challenging to make and requires multimodal imaging techniques., Here we describe two cases of AHCM with cerebrovascular disease as the presenting condition: Patient 1 had atrial fibrillation (AF), […]