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Is There a Typical Doppler Pattern in Patients With Apical Hypertrophic Cardiomyopathy With Aneurysm?
Gerardo Vito Lo Russo1,2, Mauro Pepi2, Saima Mushtaq2
1Department of Clinical Sciences and Community Health, Cardiovascular Section, University of Milan, Milan, Italy.
Insights
This study identified three distinct blood flow patterns in patients with apical hypertrophic cardiomyopathy and apical aneurysm using echo-Doppler. These patterns correlate with varying intracavitary pressure gradients, aiding in diagnosis.
Area of Science:
- Cardiology
- Medical Imaging
- Physiology
Background:
- Apical hypertrophic cardiomyopathy (HCM) is a form of HCM characterized by left ventricular apical thickening.
- Apical aneurysm is a potential complication of apical HCM, leading to altered cardiac function.
- Understanding intracavitary hemodynamics is crucial for managing HCM and its complications.
Abstract:
Nineteen consecutive patients with apical hypertrophic cardiomyopathy and apical aneurysm underwent a comprehensive echo-Doppler including continuous wave Doppler at midventricular level. Three different flow patterns, pattern A (more frequent), pattern B, and pattern C, and expression of different intracavitary pressure gradients were defined. (Level of Difficulty: Intermediate.).
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