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Published on: August 8, 2022
Inferior Hypertrophic Cardiomyopathy: An Unusual and Insidious Site
Diego Pancaldo1, Enrico Armando2, Sarah Dogliani1
1Department of Cardiology, SS Annunziata Hospital, Savigliano (Cuneo), Italy.
Insights
Hypertrophic cardiomyopathy, a heart muscle disease, typically affects the left ventricle. This case highlights how cardiac magnetic resonance imaging aided diagnosis and treatment of a rare, isolated inferior wall hypertrophy.
Area of Science:
- Cardiology
- Cardiovascular Imaging
- Medical Diagnostics
Background:
- Hypertrophic cardiomyopathy (HCM) is a primary heart muscle disease.
- HCM causes increased left ventricular wall thickness due to abnormal conditions.
- Isolated inferior wall hypertrophy is a rare and challenging presentation of HCM.
Abstract:
Hypertrophic cardiomyopathy is a heart muscle disease, characterized by increased left ventricular wall thickness that is not explained only by abnormal loading conditions. Hypertrophy preferentially involves the interventricular septum in the basal segments of the left ventricle, but often extends to the lateral wall, posterior septum, and apex of the left ventricle. A substantially isolated inferior wall hypertrophy is quite rare and diagnostically insidious. We present a clinical case in which diagnosis and therapeutic management were decisively guided by cardiac magnetic resonance.
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