Severe asymmetric septal hypertrophy
[PDF File]Hypertrophic cardiomyopathy in the adolescent
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Figure 2. Imaging of asymmetric septal hypertrophy in hypertrophic cardiomyopathy Echocardiographic (left panel) and cardiac magnetic resonance (right panel) imaging showing severe asymmetric septal hypertrophy because of hypertrophic cardiomy-opathy in a male, 14 years of age. Figure 3: Late gadolinium enhancement imaging in hypertrophic cardio-
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was massive asymmetric septal hypertrophy with septal thickness of 35 mm, posterior wall of 15 mm (Fig 1), systolic anterior motion of the mitral valve, with mitral-septal contact with a left ventricular outflow tract (LVOT) gradient of 90 to 100 mm Hg and mild mitral regurgitation (Fig 2). Pulmonary artery pressure could not be assessed.
[PDF File]Asymmetric septal hypertrophy in patients with aortic ...
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had M-modeechocardiography,and asymmetric septal hypertro phy was found in only 14 patients. Thus, the incidence of asym metric septalhypertrophyin our cohort of 161patients with aortic stenosis was9.0%.Two of the 14patients with asymmetric septal hypertrophy were,however,not included …
[PDF File]Asymmetric Septal Hypertrophy in Appropriate for ...
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morbidity and mortality [1].Asymmetric septal hypertrophy (ASH) is a well-recognized cardiac functional abnormality in IDM. This term describes the special feature of the interventricular septum thickness >6 mm and septal/posterior wall thickness ratio >1.3 [2-4]. …
Asymmetric septal hypertrophy in patients with severe ...
Asymmetric septal hypertrophy has been deļ¬ned ana-tomically as disproportionate thickening of the anterior ventricular septum relative to the posterior LV free wall. 12 3 in. Asymmetric septal hypertrophy in patients with severe aortic stenosis: The usefulness of associated septal myectomy
[PDF File]Asymmetric septal hypertrophy and propranolol in a ...
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Asymmetric septal hypertrophy was diagnosed by echocardiography and confirmed at cardiac catheterisation. Theaortic subvalvar gradient was reduced from 56 mmHgto 10 mmHgwith intravenous propranolol. Relatives ofpatients withthe syndrome should be screened byechocardiography in the hopethat the early de-
[PDF File]How NOT to miss Hypertrophic Cardiomyopathy?
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hypertrophy in response to HTN • Usually concentric hypertrophy. • In the early stages of the disease, the hypertrophy is often more prominent in the basal septum, yet a septal/posterior wall thickness ratio of >1.5:1 is extremely rare . • SAM with LVOTO is not pathognomonic of HCM and can be seen in HTN.
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for septal reduction therapy. n Echocardiographic Echocardiography is a critical tool for screening prior to consideration of ASA. The presence of asymmetric septal hypertrophy, SAM, LVOT obstruction and eccentric MR all confirm the diagnosis (Figure 1). Measurement of septal thickness ≥16 mm at the site of SAM–septal
[PDF File]Echocardiography in Hypertrophic Cardiomyopathy
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Presence of hypertrophy and its distribution •Classically asymmetric but can be in any pattern and at any location, including the right ventricle •Although septal predominance is more common, hypertrophy can be isolated to the LV free wall or apex •RV hypertrophy (may be in any location) is rare
[PDF File]Hypertrophic Obstructive Cardiomyopathy
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ventricular hypertrophy on electrocardiography. The diagnosis can be confirmed by two-dimension-al echocardiography, which shows hypertrophy of the myocardium that is usually asymmetric, with the septal thickness greater than the thickness of the free wall (Fig. 2). Continuous-wave Doppler echo-cardiography is used to diagnose resting obstruc-
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