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Published on: June 21, 2016
Echocardiography in hypertrophic cardiomyopathy: the role of conventional and emerging technologies
Luis C Afonso1, Juan Bernal, Jeroen J Bax
1Division of Cardiology, Wayne State University, Detroit, Michigan, USA.
Insights
Hypertrophic cardiomyopathy diagnosis can be challenging. This review explores established and novel echocardiography techniques, including Doppler and 3D imaging, to improve assessment of this inherited heart condition.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Hypertrophic cardiomyopathy (HCM) is a common inherited heart muscle disease.
- Differentiating HCM from hypertensive heart disease and athlete's heart can be difficult using traditional methods alone.
Purpose of the Study:
- To review the established echocardiography modalities for diagnosing and managing hypertrophic cardiomyopathy.
- To discuss the emerging role of advanced echocardiographic techniques in assessing HCM.
Main Methods:
- Review of established echocardiographic techniques.
- Discussion of novel modalities: tissue Doppler, Doppler-based strain, 2D strain (speckle tracking), and 3D imaging.
Main Results:
- Traditional echocardiography has limitations in definitively diagnosing HCM.
- Novel techniques offer enhanced capabilities for evaluating HCM's complex nature.
Conclusions:
- Echocardiography is crucial for HCM diagnosis, management, and prognosis.
- Advanced echocardiographic imaging modalities are increasingly important for comprehensive HCM assessment.
Abstract:
Hypertrophic cardiomyopathy is a relatively common inherited cardiomyopathy that is occasionally challenging to differentiate from hypertensive heart disease and athlete hearts on the basis of morphologic or functional abnormalities alone. Echocardiography has traditionally played a preeminent role in the diagnosis, formulation of management strategies, and the prognostication of this complex disease. In this review, we briefly profile the utility and pitfalls of established echocardiographic modalities and discuss the evolving role of novel echocardiographic imaging modalities such as tissue Doppler, Doppler-based strain, 2-dimensional strain (speckle tracking imaging), and 3-dimensional imaging in the assessment of hypertrophic cardiomyopathy.
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