[Usefulness of contrast echocardiography with harmonic imaging in a patient with hypertrophic cardiomyopathy and midventricular obstruction].
Echocardiography is routinely used for the evaluation of cardiac function. Definition of the endocardial border is essential for the assessment of global and regional left ventricular contractility. This is sometimes difficult due to an inadequate acoustic window. New echocardiographic techniques may be useful to accurate and noninvasively diagnose certain conditions which may otherwise remain undiagnosed with traditional techniques. We present a case of a patient diagnosed with segmental wall motion abnormalities (lateral and apical hypokinesis) by conventional echocardiography. The use of harmonic imaging with contrast changed the initial diagnosis and the patient was diagnosed with severe hypertrophic cardiomyopathy with midventricular obstruction, without segmental wall motion abnormalities.
García Tejada
J
J
Servicio de Cardiología. Hospital 12 de Octubre. Madrid, Spain.
L Zamorano
J
J
Almería
C
C
Rodrigo
J L
JL
Sánchez
V
V
Serra
V
V
Sánchez-Harguindey
L
L
D002312:Cardiomyopathy, Hypertrophic / Q000150:complications* / Q000000981:diagnostic imaging*; D004452:Echocardiography / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D014694:Ventricular Outflow Obstruction / Q000150:complications*