title: Diastolic paradoxic jet flow in patients with hypertrophic cardiomyopathy: report of two patients with different morphologic aspects.
abstract: BACKGROUND
  In non-Asiatic population, apical hypertrophic cardiomyopathy represents 1% to 2% of hypertrophic cardiomyopathies. The presence of an apical ventricular aneurysm occurs in 1% of patients with the apical variant of hypertrophic cardiomyopathy.
  
  
  RESULTS
  We present two patients with hypertrophic cardiomyopathy, both illustrating an early diastolic paradoxic jet flow between the apex and the middle area of ventricle. Such paradoxic flow is possibly due to the coexistence of mid-chamber obliteration and segmental wall motion abnormalities at the apex. The incidence and clinical significance of this flow pattern is still to be clarified.
authors.affiliation: Department of Cardiology, Papardo Hospital and University of Messina, Messina, Italy. santi.mangano@tin.it
authors.forename: Santi
authors.initials: S
authors.lastname: Mangano
authors.forename: Scipione
authors.initials: S
authors.lastname: Carerj
authors.forename: Pietro
authors.initials: P
authors.lastname: Pugliatti
authors.forename: Lucio
authors.initials: L
authors.lastname: Cavallaro
authors.forename: Antonino
authors.initials: A
authors.lastname: La Rosa
authors.forename: Rosario
authors.initials: R
authors.lastname: Grassi
mesh_terms: D000368:Aged; D002312:Cardiomyopathy, Hypertrophic / Q000000981:diagnostic imaging* / Q000503:physiopathology; D015150:Echocardiography, Doppler; D005260:Female; D006801:Humans; D008875:Middle Aged