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Challenges in the Comprehensive Management of Hypertrophic Cardiomyopathy in Children: Case Report Cover

Challenges in the Comprehensive Management of Hypertrophic Cardiomyopathy in Children: Case Report

Open Access
|Sep 2025

Figures & Tables

FIGURE 1.

Two-dimensional echocardiography. A. Parasternal four-chamber view showing septal hypertrophy (septal thickness 4.0 cm). B. Parasternal five-chamber view showing the LVOT without obstruction (LVOT gradient 4 mmHg). C. Parasternal five-chamber view during the Valsalva maneuver (LVOT gradient 8 mmHg, no obstruction).

FIGURE 2.

Pre-ICD implantation speckle-tracking analysis. LV longitudinal strain from apical two-, three-, and four-chamber views, showing reduced global strain consistent with myocardial dysfunction. The final bull’s eye plot highlights low global longitudinal strain in the septum, especially in the inferior septal region.

FIGURE 3.

Three-dimensional echocardiography assessing LV ejection fraction and volumes, showing preserved systolic function (LV ejection fraction 61%).

FIGURE 4.

Posteroanterior and lateral chest radiographs showing the implanted ICD and right ventricular lead position.
DOI: https://doi.org/10.2478/jce-2025-0013 | Journal eISSN: 2457-5518 | Journal ISSN: 2457-550X
Language: English
Page range: 112 - 118
Submitted on: May 29, 2025
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Accepted on: Jul 29, 2025
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Published on: Sep 23, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Beatrix-Julia Hack, Ioana Sus, Diana-Ramona Iurian, Liliana Gozar, Anca Voichita Popoiu, Iolanda Muntean, published by Asociatia Transilvana de Terapie Transvasculara si Transplant KARDIOMED
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.