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Chapter-27 Hypertrophic Cardiomyopathy

BOOK TITLE: Textbook of Echocardiography

Author
1. Shanmugasundaram S
2. Vinodkumar B
3. Rajeswari K
ISBN
9789352700929
DOI
10.5005/jp/books/14136_28
Edition
1/e
Publishing Year
2018
Pages
15
Author Affiliations
1. KS Hospital, 747 Poonamallee High Road, Kilpauk, Chennai, India, Billroth Institute of Cardiology, Chennai, Tamil Nadu, India, Tamil Nadu Medical University, Billroth Hospitals; Indian College of Cardiology; Indian Academy of Echocardiography, Chennai, Tamil Nadu, India, Tamil Nadu Medical University and Cardiologist, Billroth Hospitals, Chennai, Tamil Nadu, India, Tamil Nadu Dr MGR Medical University, Convenor; Billroth Hospitals, Chennai, Tamil Nadu, India, Billroth Hospitals, Chennai, Tamil Nadu, India, The Tamil Nadu Dr MGR Medical University; Billroth Hospitals, Chennai, Tamil Nadu, India, The Tamil Nadu Dr MGR Medical University, Chennai, Tamil Nadu, India, Billroth Hospital, Chennai, Tamil Nadu, India
2. Billroth Hospitals, Chennai, Tamil Nadu, India
3. Billroth Hospitals, Chennai, Tamil Nadu, India, Billroth Hsopitals, Chennai, Tamil Nadu, India
Chapter keywords
Hypertrophic cardiomyopathy, HCM, inheritance pattern, morphological features, hemodynamic, echocardiography, hypertrophy, anterior wall, interventricular septum

Abstract

Hypertrophic cardiomyopathy (HCM) is known for its heterogeneity, be it the inheritance pattern, morphological features, hemodynamics or the clinical presentation. Echocardiography plays a vital role in diagnosis and management of HCM. It may not be an exaggeration to state that echo has not only helped clinicians to precisely diagnose this condition but has actually made them to understand and evolve the etiopathogenesis, inheritance patterns, epidemiology, clinical presentation, hemodynamics and prognosis of the patients with this disease. This chapter covers the hypertrophy in HCM and abnormal coronary flow reserve predicts risk. The essential echo feature of HCM is hypertrophy of one or more segments of LV, measuring more than or equal to 15 mm at end diastole. Typically, the hypertrophy in HCM is asymmetric with frequent involvement of interventricular septum and anterior wall.

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