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[Hypertrophic cardiomyopathy with left ventricular aneurysm]

Ewelina Becherka1, Jarosław D Kasprzak, Jerzy Górny

  • 1II Katedra Kardiologii, Uniwersytet Medyczny w Łodzi, Łódź. ebecherka@wp.pl

Kardiologia Polska
|September 20, 2011
PubMed

Insights

This case study highlights a 68-year-old woman with hypertrophic cardiomyopathy who developed dyspnea post-acute coronary syndrome. Echocardiography revealed left ventricular aneurysm and intraventricular gradients, indicating complex cardiac dynamics.

Area of Science:

  • Cardiology
  • Cardiac Imaging
  • Cardiovascular Disease

Background:

  • Hypertrophic cardiomyopathy (HCM) is a genetic heart muscle disease.
  • Acute coronary syndrome (ACS) can precipitate or exacerbate cardiac complications.
  • Left ventricular (LV) dysfunction requires careful diagnostic evaluation.

Observation:

  • A 68-year-old woman with known HCM presented with progressive dyspnea following ACS.
  • Echocardiography demonstrated hypertrophic hypertrophy and an apical LV aneurysm.
  • Doppler-echocardiography identified midventricular and subaortic intra-LV gradients.

Findings:

  • The patient exhibited significant intraventricular pressure gradients.
  • Systolic anterior motion of the anterior mitral leaflet was observed.
  • The combination of HCM, LV aneurysm, and intraventricular gradients presents a complex clinical scenario.

Implications:

  • This case underscores the importance of comprehensive echocardiographic assessment in HCM patients with worsening symptoms after ACS.
  • Understanding intraventricular gradients and LV aneurysm is crucial for managing dyspnea and preventing adverse outcomes.
  • Further research may explore the specific mechanisms linking ACS, LV aneurysm formation, and gradient development in HCM.

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