Familial dilated hypokinetic cardiomyopathy

Case contributed by Dr Sigmund Stuppner

Presentation

Isolated transient aphasia at emergency presentation.

Modality: X-ray

Moderate cardiac enlargement with signs of pulmonary vessel congestion.

Modality: MRI

                                                LEFT VENTRICLE                      RIGHT VENTRICLE
EDVi (ml/m²)                            280 (V.N. 47 -  92)                   97 (V.N. 55 - 105)                   
ESVi (ml/m²)                             230 (V.N. 13 - 30)                    55 (V.N. 15 - 43)
SVi (ml/m²)                               50 (V.N. 32 - 62)                       42 (V.N. 32 - 64)
EF (%)                                        18 (V.N. 55 - 78)                       43 (V.N. 47 - 74)
 

The MRI findings are a compatible with dilated hypokinetic cardiomyopaty with severe dilatation of the left ventricle and severe depression of left cardiac systolic function with diffuse hypokinesia.

Right ventricle with normal dimension and mild depression of systolic function.

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Case Information

rID: 43764
Case created: 24th Mar 2016
Last edited: 7th Apr 2016
System: Cardiac
Inclusion in quiz mode: Included

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