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Continuous apex to left ventricle blood flow pattern in hypertrophic cardiomyopathy with apical aneurysm and midventricular obstruction.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Hsieh, Bill P. C. Tauras, James Taub, Cynthia
Description	Country affiliation: United States Author Affiliation: Hsieh BP ( Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York 10461, USA. billhsieh2003@yahoo.com)
Abstract	A 42-year-old female presented with chest pain, noted to have systolic and diastolic murmurs on physical examination and left ventricular hypertrophy on the electrocardiogram. Echocardiography with contrast enhancement revealed hypertrophic cardiomyopathy (HCM) with apical aneurysm and mid left ventricular cavity obstruction. Doppler interrogation showed continuous systolic and diastolic flow from the apex to left ventricle (LV) with a transient deceleration giving rise to a notched pattern. Myocardial ischemia of the apex was demonstrated on adenosine nuclear scintigraphy without epicardial coronary obstruction on angiography. This case demonstrates a novel Doppler pattern with continuous apex to LV flow in HCM in the setting of apical ischemia that may account for the formation of the aneurysm.
File Format	HTM / HTML
ISSN	07422822
Issue Number	6
Volume Number	29
e-ISSN	15408175
Journal	Echocardiography
Language	English
Publisher	Wiley
Publisher Date	2012-07-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Aortic Aneurysm, Abdominal Cardiomyopathy, Hypertrophic Complications Discipline Cardiology Humans Ventricular Outflow Obstruction Ultrasonography Adult Female Journal Article Case Reports
Content Type	Text
Resource Type	Case study Article
Subject	Radiology, Nuclear Medicine and Imaging Cardiology and Cardiovascular Medicine

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