Hypertrophic Cardiomyopathy (HCM)
[Pages:90]Hypertrophic Cardiomyopathy (HCM)
Evaluation and Differential Diagnosis
Role of Echocardiography
William K. Freeman, MD, FACC, FASE
DISCLOSURES
Relevant Financial Relationship(s) None
Off Label Usage None
Hypertrophic Cardiomyopathy
Echocardiographic Diagnosis
Left Ventricular Hypertrophy 15 mm (Asymmetric >> Symmetric)
In the absence of another cardiovascular or systemic disease associated with LVH or myocardial wall thickening
Gersh, BJ, et al. JACC 2011; 58: e212 ACC/AHA Guidelines
Hypertrophic Cardiomyopathy
Echocardiographic Diagnosis
Not Mandatory for Diagnosis of HCM
? Asymmetric Septal Hypertrophy (ASH) ? Systolic Anterior Motion (SAM) ? Dynamic LVOT obstruction
Hypertrophic Cardiomyopathy
Distribution of LVH (600 Patients)
Anterior septum only
(25%)
Septum & ant lat freewall (17%)
Septum & all freewalls (17%)
Anterior and inferior septum
(31%)
Klues HG, JACC 1995; 26: 1699
Lateral freewall
(1%)
Anterior septum & ant lat freewall
(7%) Apex only
(2%)
Left Ventricular Morphology in HCM
Sigmoid Septum
Reverse Septum
Neutral Septum
Apical Variant
181(47%) Gene + (8%)
132(35%) Gene + (79%)
32(8%) Gene + (41%)
Binder J, et al. Mayo Clin Proc 2006; 81: 459.
37(10%) Gene + (32%)
Genetic testing for HCM
Mayo Clinic Database (389 Patients)
? Echocardiographic anatomic
phenotypes are not specific for individual gene mutations
? Specific gene mutations not
predictive of prognosis or need for myectomy
Van Driest SL, et al. Mayo Clin Proc 2005; 80: 739
LVH in HCM: Sigmoid Septum
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- 2020 guideline for the diagnosis and treatment of
- chapter xvii q00 q99 icbdsr
- lipomatous atrial septal hypertrophy a review of its
- transcoronary ablation of septal hypertrophy tash
- hypertrophic cardiomyopathy hcm
- icd 10 cm aapc
- fetal icd 10 codes quick reference guide
- cigna medical coverage policy cpt icd 10 hcpcs
- icd therapy for primary prevention in hypertrophic
- alcohol septal ablation in patients with severe septal
Related searches
- hypertrophic cardiomyopathy and exercise
- hypertrophic cardiomyopathy diagnosis
- hypertrophic cardiomyopathy life expectancy
- hypertrophic cardiomyopathy treatment o
- hypertrophic cardiomyopathy treatment options
- hypertrophic cardiomyopathy murmur
- hypertrophic cardiomyopathy heart sounds
- hypertrophic cardiomyopathy murmur standing
- hypertrophic cardiomyopathy prognosis
- apical hypertrophic cardiomyopathy treatment
- hypertrophic cardiomyopathy cats prognosis
- obstructive hypertrophic cardiomyopathy prognosis