Hypertrophic cardiomyopathy - septal and anterior pattern
Mild dyspnoea on exertion. Echocardiography showed septal hypertrophy.
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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.
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.