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Asymmetric septal hypertrophic cardiomyopathy: a case report
1Department of Radiology, Henry Ford Hospital, 2799 West Grand Blvd, Detroit, MI 48202, USA. matthewr@rad.hfh.edu
Emergency Radiology
|November 25, 2010
Summary
A young woman experienced syncope and chest pain. Imaging revealed asymmetric septal thickening, leading to a diagnosis of hypertrophic cardiomyopathy confirmed by cardiac MRI.
Area of Science:
- Cardiology
- Cardiovascular Imaging
- Medical Diagnostics
Background:
- A 30-year-old female presented with syncope, chest pain, and exertional dyspnea.
- Initial workup, including D-dimer levels, was unremarkable.
- Electrocardiogram (EKG) showed a right bundle branch block.
Observation:
- A non-gated chest CT with contrast was performed to rule out pulmonary embolism.
- The CT scan revealed markedly asymmetric septal thickening.
- This finding raised suspicion for hypertrophic cardiomyopathy.
Findings:
- Hypertrophic cardiomyopathy was confirmed via gated cardiac MRI.
- This case highlights the diagnostic utility of advanced cardiac imaging.
Implications:
- Early and accurate diagnosis of hypertrophic cardiomyopathy is crucial for patient management.
- Cardiac MRI plays a vital role in confirming the diagnosis when CT findings are suggestive.
- Understanding the imaging characteristics can aid in timely intervention for cardiovascular diseases.
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