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Hypertrophic cardiomyopathy – when the electrocardiographic findings can lead to final diagnosis Cover

Hypertrophic cardiomyopathy – when the electrocardiographic findings can lead to final diagnosis

Romanian Journal of Cardiology
Volume 31 (2021): Issue 1 (March 2021)
By: Bogdana Fetecau,  Andreea Calin,  Sergiu Sipos,  Carmen Ginghina,  Bogdan A. Popescu and  Ruxandra Jurcut  
Open Access
|Apr 2022

Figures & Tables

Figure 1

Pedigree. Marked with black arrowhead - the index case. Marked with red – members known as positive for GLA mutation. Green square - genetically tested, non-carrier of the GLA mutation. Blue stars - SCD in sleep.
Pedigree. Marked with black arrowhead - the index case. Marked with red – members known as positive for GLA mutation. Green square - genetically tested, non-carrier of the GLA mutation. Blue stars - SCD in sleep.

Figure 2

Panel A. Electrocardiogram: short PR interval with slight septal preexcitation appereance, right bundle branch block (more obvious when premature atrial beat occurs – 4th QRS complex), left ventricular hypertrophy voltage criteria with deep inverted T waves in the precordial leads suggestive of apical HCM. Panel B. ECG Holter: 2nd QRS complex is a junctional escape beat (often seen in Fabry disease) followed by marked sinus bradycardia.
Panel A. Electrocardiogram: short PR interval with slight septal preexcitation appereance, right bundle branch block (more obvious when premature atrial beat occurs – 4th QRS complex), left ventricular hypertrophy voltage criteria with deep inverted T waves in the precordial leads suggestive of apical HCM. Panel B. ECG Holter: 2nd QRS complex is a junctional escape beat (often seen in Fabry disease) followed by marked sinus bradycardia.

Figure 1

Transthoracic echocardiography. Basal anterior septum and posterior wall measurements in panels A. Parasternal long axis view (PLAX) and B. Parasternal short axis at mitral valve level (PSAX- MV). C. Apical four chamber view (A4C) measurements of apical inferior septum and anterolateral wall (maximum thickness 15 mm). D. Myocardial deformation imaging. Longitudinal strain bull’s eye plot showing a reduced global longitudinal strain (−13.5%) with lowest segmental values in septal and inferior segments.
Transthoracic echocardiography. Basal anterior septum and posterior wall measurements in panels A. Parasternal long axis view (PLAX) and B. Parasternal short axis at mitral valve level (PSAX- MV). C. Apical four chamber view (A4C) measurements of apical inferior septum and anterolateral wall (maximum thickness 15 mm). D. Myocardial deformation imaging. Longitudinal strain bull’s eye plot showing a reduced global longitudinal strain (−13.5%) with lowest segmental values in septal and inferior segments.
DOI: https://doi.org/10.47803/rjc.2021.31.1.136 | Journal eISSN: 2734-6382 | Journal ISSN: 1220-658X
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Language: English
Page range: 136 - 139
Published on: Apr 30, 2022
Published by: Romanian Society of Cardiology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
hypertrophic cardiomyopathy,
short PR interval,
sinoatrial block,
Fabry disease
Related subjects:
Medicine,
Clinical medicine,
Internal medicine,
Cardiology,
Pediatrics and juvenile medicine,
Paediatric cardiology,
Surgery,
Cardiac surgery

© 2022 Bogdana Fetecau, Andreea Calin, Sergiu Sipos, Carmen Ginghina, Bogdan A. Popescu, Ruxandra Jurcut, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution 4.0 License.

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