[Apical hypertrophic cardiomyopathy without aneurysm. Diagnosis trough myocardial gammagraphy and magnetic resonance].
We present three patients with apical hypertrophic cardiomyopathy, their diagnosis was performed by means of imaging techniques to determine morphology, severity, configuration, complications, and distribution of the ventricular hypertrophy. Through color-flow and pulsed Doppler, the protosystolic flow in the midventricular region was detected, which we believe corresponds to the obstruction due to coarctation of the walls during early ventricular systole and that this gradient is independent from the one identified as paradoxical in patients with apical aneurysm. Explorations by means of magnetic resonance and Gated-Spect myocardial gammagraphy revealed the apical location of the hypertrophy confirming the "spadelike" configuration of the left ventricle and the absence of apical aneurysm.
Ulecia Martínez
Miguel Angel
MA
Servicio de Cardiología, Hospital Clínico Universitario San Cecilio, Avda. de Andalucía No. 34, casa 27, 18014 Granada. muleciam@hotmail.com
Torres Ruiz
Juan Miguel
JM
Gómez Reyes
José Luis
JL
D000368:Aged; D002312:Cardiomyopathy, Hypertrophic / Q000175:diagnosis*; D003952:Diagnostic Imaging / Q000379:methods*; D015150:Echocardiography, Doppler; D005260:Female; D006321:Heart / Q000000981:diagnostic imaging; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011859:Radiography; D011877:Radionuclide Imaging; D013794:Thallium Radioisotopes; D014694:Ventricular Outflow Obstruction / Q000175:diagnosis*
D013794:Thallium Radioisotopes