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

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 200490645-649
pubmed