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Case of the week: Number 06-05. apical HCM by CMR and echo

Case of the week: Number 06-05. apical HCM by CMR and echo. Case from: James C Moon , Dudley J Pennell, Department of CMR, Royal Brompton hospital, London

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Case of the week: Number 06-05. apical HCM by CMR and echo

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  1. Case of the week: Number 06-05. apical HCM by CMR and echo Case from: James C Moon, Dudley J Pennell, Department of CMR, Royal Brompton hospital, London History: A 64 year old women presented with chest pain and palpitations. The ECG showed Extensive T wave inversion. Echocardiography (L) was reported as showing diastolic dysfunction and an akinetic apex. Cine CMR confirmed the clinical suspicion of apical hypertrophic cardiomyopathy (aHCM). Conclusion: CMR piloting allows precise alignment with the LV cavity, even when almost obliterated giving high contrast cine images. Clinically, in patients with extensive T wave inversion and non-diagnostic echo, CMR can help confirm or exclude apical hypertrophic cardiomyopathy. Reference: Heart 2004;90:645-649 pubmed

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