Myocardial Pathology

13 Myocardial Pathology

Hypertrophic Cardiomyopathy

Background

TABLE 13-1 FEATURES DISTINGUISHING “ATHLETE’S HEART” FROM HCM IN ADULTS*

Feature Athlete’s Heart HCM
Maximal wall thickness ≤16 mm ≥13 mm
Pattern of LVH Predominantly concentric Concentric or asymmetrical
LV cavity dimension Often > 55 mm (in endurance athletes) Usually < 45 mm
Diastolic function Normal Normal or abnormal
Gender Male > female Male = female
Family history of HCM or SCD No Yes or no
Delayed enhancement (MRI) No Yes or no
Exercise capacity Above normal Normal to below normal
Response to deconditioning LVH regression No change in LVH

* Intended for adults or adult-sized teenagers. Corresponding Z scores can be calculated for children but have not been validated.

Echocardiographic Approach (Table 13-2)

Anatomic Imaging

Physiologic Data

Dilated Cardiomyopathy

Background

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Jun 11, 2016 | Posted by in CARDIOLOGY | Comments Off on Myocardial Pathology

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