Right ventricular hypertrophy cleveland cli

• Does HCM cause thickening in the left ventricle?

  HCM also may cause thickening in other parts of the heart muscle, such as the bottom of the heart called the apex, right ventricle, or throughout the entire left ventricle. Stiffness in the left ventricle occurs as a result of cellular changes that occur in the heart muscle when it thickens.

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• How is LV hypertrophy characterized?

  Apical (Figure 20), septal, and papillary muscle hypertrophy can be readily delineated. CT provides accurate characterization of the ex- tent of LV hypertrophy, including the identification of patients with marked hypertrophy (maximum wall thickness > 30 mm), which can be helpful for selection of patients for ICD therapy.

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• How is left ventricular diastolic function assessed in hypertrophic cardiomyopathy?

  Left ventricular diastolic function assessed using Doppler tissue imaging in patients with hypertrophic cardiomyopathy: relation to symptoms and exercise capacity. Heart 2002;87:247-51.

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• Does LV hypertrophy increase in patients with HCM?

  Papillary muscle number and mass are also increased in patients with HCM.77 Furthermore, there appears to be a small subset of pa- tients with HCM in whom LV hypertrophy is focal and limited (with normal LV mass) but who demonstrate substantially hypertrophied papillary muscles.

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• [PDF File]The Clinical Picture - Cleveland Clinic Journal of Medicine

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  CLEVELAND CLINIC JOURNAL OF MEDICINE VOLUME 80 • NUMBER 4 APRIL 2013 205 ChAN AND COLLEAgUEs The patient’s electrocardiogram shows a right atrial abnormality and right ventricular hyper-trophy. Right atrial enlargement is evidenced by a prominent initial P wave in V 1 with an am-plitude of at least 1.5 mm (0.15 mV). A P wave

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• The clinical features, outcomes and genetic characteristics ...

  Left ventricular hypertrophy is the most characteristic feature of HCM [1–2]. Severe right ven-tricular hypertrophy (SRVH) is a relatively rare subtype of HCM in which myocardial hyper-trophy primarily affects the right ventricle, which is generally ignored in HCM in clinical practice.

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• Hypertrophic Cardiomyopathy Guide - Cleveland Clinic

  Hypertrophic cardiomyopathy (HCM) is a complex type of heart disease that affects the heart muscle. It causes thickening of the heart muscle (especially the ventricles, or lower heart chambers), left ventricular stiffness, mitral valve changes and cellular changes. Thickening of the heart muscle (myocardium) occurs most commonly at the septum.

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• [PDF File]Hypertrophic Cardiomyopathy (HCM)

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  Hypertrophic Cardiomyopathy Complicated by Apical Aneurysm. Apical abnormalities in apical HCM: Pouch: 15%; Aneurysm: 3% Adverse events associated with aneurysm (not apical pouch) Progressive heart failure/death (18%) SCD or revived cardiac arrest (14%) Appropriate ICD discharge (11%) Nonfatal embolic stroke (7%) Binder J et al JASE 2011;24:775 ...

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• [PDF File]Guidelines for the Echocardiographic Assessment of the Right ...

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  values of right heart size and function. In all studies, the sonographer and physician should ex-amine the right heart using multiple acoustic windows, and the report should represent an assessment based on qualitative and quantitative parameters. The parameters to be performed and reported should include a measure of right ventricular (RV ...

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• [PDF File]American Society of Echocardiography Clinical Recommendations ...

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  LV hypertrophy, although usually asymmetric,can also be concen-tric. The distribution of hypertrophy 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 (Figure 1). Thepresence of hypertrophy localized to theantero-

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