Findings of Cardiac Magnetic Resonance Imaging in Hypertrophic Cardiomyopathy after 16 Years.
10.4250/jcu.2016.24.3.239
- Author:
Gee Hee KIM
1
;
Chul Min KIM
;
Bo Hyun JANG
;
Hyeong Han LEE
;
Solim HONG
;
Sang Hoon EUM
;
Howook JEON
;
Donggyu MOON
Author Information
1. Division of Cardiology, Department of Internal Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. anthleemd@naver.com
- Publication Type:Case Report
- Keywords:
Hypertrophic cardiomyopathy;
Microvascular dysfunction;
Cardiac magnetic resonance imaging
- MeSH:
Cardiomyopathies;
Cardiomyopathy, Hypertrophic*;
Coronary Angiography;
Coronary Vessels;
Death, Sudden;
Diagnosis;
Echocardiography;
Follow-Up Studies;
Humans;
Magnetic Resonance Imaging*;
Middle Aged
- From:Journal of Cardiovascular Ultrasound
2016;24(3):239-242
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 58-year-old man had been diagnosed with non-obstructive hypertrophic cardiomyopathy (HCMP) according to echocardiography findings 16 years ago. Echocardiography showed ischemic cardiomyopathy (CMP)-like features with decreased systolic function but a non-dilated chamber. Coronary angiography was performed but showed a normal coronary artery. Cardiac magnetic resonance imaging (MRI) revealed multifocal transmural and subepicardial delayed-enhancing areas at the anteroseptal, septal, and inferoseptal left ventricular (LV) wall, and wall thinning and decreased motion of the anteroseptal LV wall. Findings of ischemic CMP-like features by echocardiography suggested microvascular dysfunction. This late stage of HCMP carries a high risk of sudden death. Cardiac MRI evaluation may be necessary in cases of ischemic CMP-like features in HCMP. In this case, the diagnosis of end-stage HCMP with microvascular dysfunction was confirmed by using cardiac MRI after a follow-up period of more than 16 years.
