Hypertrophic cardiomyopathy - septal and anterior pattern

Case contributed by Dr Fabien Ho

Presentation

Mild dyspnoea on exertion. Echocardiography showed septal hypertrophy.

Patient Data

Age: 35 years
Gender: Male

Sarcomeric hypertrophic cardiomyopathy with septal and anterior wall involvement is seen. There are also areas of patchy mid-wall enhancement indicating fibrosis. There is no left ventricular outflow tract obstruction.

Case Discussion

In this case there is hypertrophy of the septal and anterior wall but with sparing of the apex, which is less common than septal hypertrophy alone. The presence of fibrosis increases the risk of adverse cardiac outcomes.

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Case information

rID: 63249
Published: 21st Sep 2018
Last edited: 14th Oct 2018
System: Cardiac
Inclusion in quiz mode: Included
Institution: Clinique Sainte Clotilde

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