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Related to asymmetrical septal hypertrophy: hypertrophic cardiomyopathy
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There was asymmetrical septal hypertrophy in the mid segments measuring 22 mm, the anterior wall measured 16mm, whereas the inferior wall measured 14mm; producing mid cavity gradients of 50 mm of Hg, suggestive of hypertrophic cardiomyopathy.
On echocardiographic examination, findings including mainly asymmetrical septal hypertrophy, ventricular wall thickening and ventricular outlet obstruction may be observed.
The final diagnosis of hypertrophic obstructive cardiomyopathy was made according to the current guidelines and was based on severe symptoms during daily activity, asymmetrical septal hypertrophy >15 mm, systolic anterior movement of the mitral valve, and an intraventricular pressure gradient of [greater than or equal to]30 mmHg at rest and or >60 mmHg after provocation by the Valsalva maneuver (16).
Cardiac involvement is characterized morphologically by symmetrical, concentric myocardial hypertrophy (occasionally asymmetrical septal hypertrophy like HCM), and functionally by reduced LV volume and increased EF, which can be confused with HCM.
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