Fig. 1
Electrocardiogram: heart rate: 90-120 beats/minute, extrasystolic arrhythmia with supraventricular and ventricular extrasystoles
Fig. 2
Transthoracic echocardiography parasternal long axis view: hypertrophic cardiomyopathy predominantly septal (IVS-interventricular septum, LPW-left posterior ventricular wall, LA-left atrium, AoV-aortic valve)
Fig. 3
Continuous-wave Doppler apical 4 chambers view: hypertrophic cardiomyopathy predominantly septal with continuous-wave Doppler with a peak gradient in LVOT of 147 mmHg (LVOT-left ventricular outflow tract)
Table 1
Evolutive state of the patient ( IVS (s) – interventicular septum – systolic, IVS (d) – interventricular septum – diastolic, LVOT – left ventricular outflow tract)
| Parameters /Age | 2 months old | 5 months old | 8 months old | 11 months old |
|---|---|---|---|---|
| IVS (s)/IVS (d) - cm | 2.03 | 2.18/2.10 | 2.12/1.85 | |
| Peak gradient of Pulmonary stenosis valve (mmHg) | 57 | 75 | 74 | 128 |
| Peak gradient of pulmonary infundibular stenosis (mmHg) | 28 | 63 | 63 | 100 |
| Peak gradient of LVOT(mmHg) | 60 | 140 | 95 | 78 |
| Ponderal index /grade of dystrophy | 0.84/ dystrophy grade | 0.7/dystrophy grade II | 0.62/dystrophy grade III | 0.61/dystrophy grade III |