Author/Authors :
Kammoun، Ikram نويسنده Department of Cardiology, Ariana Hospital, Tunis,
Tunisia , , Houchinne، Lemone نويسنده Department of Cardiology, Ariana Hospital, Tunis,
Tunisia , , Marrakchi، Sonia نويسنده Department of Cardiology, Ariana Hospital, Tunis,
Tunisia , , Ben Amara، Wael نويسنده Department of Cardiology, Ariana Hospital, Tunis,
Tunisia , , Ibn Elhaj، Zied نويسنده Department of Cardiology, Ariana Hospital, Tunis,
Tunisia , , Mokrani، Souha نويسنده Department of Cardiology, Ariana Hospital, Tunis,
Tunisia , , Added، Faouzi نويسنده Department of Cardiology, Ariana Hospital, Tunis,
Tunisia , , Kachboura، Salem نويسنده Department of Cardiology, Ariana Hospital, Tunis,
Tunisia ,
Abstract :
Multimodality imaging can help rule in/out the diagnosis of hypertrophic cardiomyopathy (HCM) in patients with significant left ventricular (LV) hypertrophy. We describe a 73-year-old woman referred to us for consultation because of a giant negative T wave on her electrocardiography. Echocardiography revealed diffuse severe hypertrophy associated with hypertrophied anterolateral papillary muscles with a bifid head and with extensive wall insertion into the apicolateral segment. Three-dimensional echocardiography and cardiac magnetic resonance confirmed these data. Importantly, automated function imaging determined the global longitudinal strain at -10.2%. According to our multimodality imaging approach, hypertrophic cardiomyopathy was the most probable diagnosis
