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

Research output: Contribution to journalArticle

5 Citations (Scopus)

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. (Echocardiography 2012;29:E131-E133) A 42-year-old female presented with chest pain, incidentally noted to have hypertrophic cardiomyopathy (HCM) with apical aneurysm and mid left ventricular cavity obstruction on echocardiography with contrast enhancement. A peculiar continuous systolic and diastolic flow pattern traveling from the apex to left ventricle was demonstrated on continuous-wave Doppler interrogation. Concomitant apical myocardial ischemia may provide a clue to the underlying mechanism of aneurysm formation.

Original languageEnglish (US)
JournalEchocardiography
Volume29
Issue number6
DOIs
StatePublished - Jul 2012

Fingerprint

Hypertrophic Cardiomyopathy
Heart Ventricles
Aneurysm
Echocardiography
Chest Pain
Myocardial Ischemia
Systolic Murmurs
Heart Murmurs
Deceleration
Left Ventricular Hypertrophy
Radionuclide Imaging
Adenosine
Physical Examination
Angiography
Electrocardiography
Ischemia

Keywords

  • apical aneurysm
  • apical hypertrophic cardiomyopahty
  • contrast echocardiography
  • Doppler echocardiography
  • midcavity obstruction

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

@article{5089dfec0bd448dc9349b46be0cb3d14,
title = "Continuous apex to left ventricle blood flow pattern in hypertrophic cardiomyopathy with apical aneurysm and midventricular obstruction",
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. (Echocardiography 2012;29:E131-E133) A 42-year-old female presented with chest pain, incidentally noted to have hypertrophic cardiomyopathy (HCM) with apical aneurysm and mid left ventricular cavity obstruction on echocardiography with contrast enhancement. A peculiar continuous systolic and diastolic flow pattern traveling from the apex to left ventricle was demonstrated on continuous-wave Doppler interrogation. Concomitant apical myocardial ischemia may provide a clue to the underlying mechanism of aneurysm formation.",
keywords = "apical aneurysm, apical hypertrophic cardiomyopahty, contrast echocardiography, Doppler echocardiography, midcavity obstruction",
author = "Hsieh, {Bill P C} and Tauras, {James M.} and Taub, {Cynthia C.}",
year = "2012",
month = "7",
doi = "10.1111/j.1540-8175.2011.01637.x",
language = "English (US)",
volume = "29",
journal = "Echocardiography",
issn = "0742-2822",
publisher = "Wiley-Blackwell",
number = "6",

}

TY - JOUR

T1 - Continuous apex to left ventricle blood flow pattern in hypertrophic cardiomyopathy with apical aneurysm and midventricular obstruction

AU - Hsieh, Bill P C

AU - Tauras, James M.

AU - Taub, Cynthia C.

PY - 2012/7

Y1 - 2012/7

N2 - 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. (Echocardiography 2012;29:E131-E133) A 42-year-old female presented with chest pain, incidentally noted to have hypertrophic cardiomyopathy (HCM) with apical aneurysm and mid left ventricular cavity obstruction on echocardiography with contrast enhancement. A peculiar continuous systolic and diastolic flow pattern traveling from the apex to left ventricle was demonstrated on continuous-wave Doppler interrogation. Concomitant apical myocardial ischemia may provide a clue to the underlying mechanism of aneurysm formation.

AB - 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. (Echocardiography 2012;29:E131-E133) A 42-year-old female presented with chest pain, incidentally noted to have hypertrophic cardiomyopathy (HCM) with apical aneurysm and mid left ventricular cavity obstruction on echocardiography with contrast enhancement. A peculiar continuous systolic and diastolic flow pattern traveling from the apex to left ventricle was demonstrated on continuous-wave Doppler interrogation. Concomitant apical myocardial ischemia may provide a clue to the underlying mechanism of aneurysm formation.

KW - apical aneurysm

KW - apical hypertrophic cardiomyopahty

KW - contrast echocardiography

KW - Doppler echocardiography

KW - midcavity obstruction

UR - http://www.scopus.com/inward/record.url?scp=84863722879&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84863722879&partnerID=8YFLogxK

U2 - 10.1111/j.1540-8175.2011.01637.x

DO - 10.1111/j.1540-8175.2011.01637.x

M3 - Article

C2 - 22329429

AN - SCOPUS:84863722879

VL - 29

JO - Echocardiography

JF - Echocardiography

SN - 0742-2822

IS - 6

ER -