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Echocardiographic Diagnosis of Apical Hypertrophic Cardiomyopathy with Optison Contrast
Author(s) -
Patel Jagruti,
Michaels Jeremy,
Mieres Jennifer,
Kort Smadar,
Mangion Judy R.
Publication year - 2002
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1046/j.1540-8175.2002.00521.x
Subject(s) - medicine , hypertrophic cardiomyopathy , cardiology , transthoracic echocardiogram , second harmonic imaging microscopy , chest pain , perfusion , cardiomyopathy , population , radiology , heart failure , laser , physics , environmental health , optics , second harmonic generation
We describe a case of obstructive apical hypertrophic cardiomyopathy in a 61‐year‐old Caucasian female with a history of chest pain syndrome. The patient was referred to the echo lab by her nuclear cardiologist, who was impressed by her abnormal stress nuclear perfusion scan that showed marked increased uptake of radioisotope at the left ventricular (LV) apex. The patient had deep negative T waves on her electrocardiogram similar to those originally described in the Japanese population. Transthoracic echocardiography with native harmonic imaging was suboptimal for visualizing LV segments. Therefore, 0.5 cc of Optison contrast was given intravenously, with repeat transthoracic imaging confirming the diagnosis. The patient and her family were referred for additional genetic testing and cardiovascular workup.