title: Severe left ventricular dynamic outflow tract gradient secondary to localized septal hypertrophy and concomitant acute ischaemic parietal dyssynergy.
abstract: Localized basal septal hypertrophy (LSH) is usually an incidental echocardiographic finding and, as opposed to asymmetric hypertrophic cardiomyopathy (AHC), is of no clinical significance. We report a case of a patient with LSH who developed a severe left ventricular outflow gradient during acute myocardial ischaemia, apical akinesis and compensatory hyperkinesis of basal parietal segments.
authors.affiliation: Servizio di Cardiologia, Ospedale Generale di Zona Valduce, Como, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Corrado
authors.forename: P
authors.initials: P
authors.lastname: Barbier
authors.forename: G
authors.initials: G
authors.lastname: Tadeo
authors.forename: G
authors.initials: G
authors.lastname: Foglia Manzillo
authors.forename: M
authors.initials: M
authors.lastname: Spata
authors.forename: M
authors.initials: M
authors.lastname: Santarone
mesh_terms: D000208:Acute Disease; D000368:Aged; D006332:Cardiomegaly / Q000000981:diagnostic imaging / Q000209:etiology*; D009202:Cardiomyopathies / Q000150:complications* / Q000000981:diagnostic imaging; D015150:Echocardiography, Doppler; D005260:Female; D006352:Heart Ventricles / Q000000981:diagnostic imaging; D006801:Humans; D017202:Myocardial Ischemia / Q000150:complications* / Q000503:physiopathology; D016277:Ventricular Function, Left