Apical hypertrophic cardiomyopathy (AHCM) is one form of hypertrophic cardiomy¬opathy that is the most common hereditary cardiac disease and the most frequently found cardiomyopathy. AHCM has typical findings on electrocardiography, echocardiography and ventricu¬lography. The electrocardiographic changes and symptoms associated with AHCM often mimic acute coronary syndromes and coronary angiogram can be performed with pre-diagnosis of coronary artery disease several times. Physicians should consider AHCM in case of patients who have similar electrocardiographic changes and symptoms with coronary artery disease.