Extremely severe gradient in hypertrophic cardiomyopathy
نویسندگان
چکیده
منابع مشابه
Left ventricular diastolic gradient in hypertrophic cardiomyopathy☆
Systolic left ventricular (LV) gradients and diastolic dysfunction are widely studied in hypertrophic cardiomyopathy (HCM) [1,2], however diastolic gradients have never been described. A patient with HCM, mid-cavity obliteration and apical aneurysm, diagnosed by both 2D echocardiography (Fig. 1, panel A) and cardiac magnetic resonance (Fig. 1, panel B), showed color Doppler aliasing effect at m...
متن کاملSevere coronary milking in obstructive hypertrophic cardiomyopathy.
Mailing Address: Jorge Humberto Guardado • Serviço de Cardiologia – Hospital Garcia de Orta 2800 Almada – Portugal E-mail: [email protected] Manuscript received May 28, 2006; revised manuscript received June 12, 2006; accepted June12, 2006.
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A 40 year old male, a known case of hypertrophic cardiomyopathy, was admitted for catheterization. At catheterization and angiography, septum was hypertrophied to about 5cm and diffuse coronary artery aneurysm was revealed. We found no previous report of coronary artery aneurysm in hypertrophic cardiomyopathy.
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Diastolic intracavitary gradient in the left ventricle is a common finding in patients with apical hypertrophy. We report the case of a patient with hypertrophic cardiomyopathy and midventricular obstruction. The paradoxical jet flow in this patient, during diastole, was directed towards the base away from the apex.
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Recently, new cardiac imaging techniques as cardiac magnetic resonance have shown to play a primary role for a recognition of unusual mechanisms of right and left ventricular obstruction. However, echocardiography remains the most widely used technique and the first step to recognize myocardial hypertrophy, blood flow velocity, and pressure gradients in real time (2). We describe a rare case of...
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ژورنال
عنوان ژورنال: Revista Argentina de Cardiología
سال: 2012
ISSN: 0034-7000,1850-3748
DOI: 10.7775/rac.v80.i4.1229