Severe left ventricular dynamic outflow tract gradient secondary to localized septal hypertrophy and concomitant acute ischaemic parietal dyssynergy

Localized basal septal hypertrophy (LSH) is usually an incidental echocardiographic finding and, as opposed to asymmetric hypertrophic cardiomyopathy (AHC), is of no clinical significance. We report a case of a patient with LSH who developed a severe left ventricular outflow gradient during acute my...

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Bibliographic Details
Published in:European heart journal 1995-01, Vol.16 (1), p.142-143
Main Authors: Corrado, G., Barbier, P., Tadeo, G., Foglia Manzillo, G., Spata, M., Santarone, M.
Format: Article
Language:English
Subjects:
Acute Disease
acute myocardial ischaemia
Aged
Biological and medical sciences
Cardiology. Vascular system
Cardiomegaly - diagnostic imaging
Cardiomegaly - etiology
Cardiomyopathies - complications
Cardiomyopathies - diagnostic imaging
Coronary heart disease
Echocardiography, Doppler
Female
Heart
Heart Ventricles - diagnostic imaging
Humans
Localized septal hypertrophy
Medical sciences
Myocardial Ischemia - complications
Myocardial Ischemia - physiopathology
sub-aortic systolic gradient
Ventricular Function, Left
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Description
Summary:Localized basal septal hypertrophy (LSH) is usually an incidental echocardiographic finding and, as opposed to asymmetric hypertrophic cardiomyopathy (AHC), is of no clinical significance. We report a case of a patient with LSH who developed a severe left ventricular outflow gradient during acute myocardial ischaemia, apical akinesis and compensatory hyperkinesis of basal parietal segments.
ISSN:0195-668X
1522-9645
DOI:10.1093/eurheartj/16.1.142