Spiral Hypertrophic Cardiomyopathy as Detected by Cardiac Magnetic Resonance | Zendy

Amin Nessim | Zendy; Williams Ronald B. | Zendy; Yarmozik June A. | Zendy; Biederman Robert W.W. | Zendy

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Spiral Hypertrophic Cardiomyopathy as Detected by Cardiac Magnetic Resonance

Author(s) -

Amin Nessim,

Williams Ronald B.,

Yarmozik June A.,

Biederman Robert W.W.

Publication year - 2014

Publication title -

echocardiography

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.404

H-Index - 62

eISSN - 1540-8175

pISSN - 0742-2822

DOI - 10.1111/echo.12443

Subject(s) - hypertrophic cardiomyopathy , muscle hypertrophy , cardiology , concentric hypertrophy , medicine , magnetic resonance imaging , contractility , cardiomyopathy , spiral (railway) , left ventricular hypertrophy , heart failure , radiology , blood pressure , mathematical analysis , mathematics

Hypertrophic cardiomyopathy (HCM) is a genetically determined heart muscle disease; characterized by left ventricular hypertrophy. Spiral HCM is described as having a counterclockwise rotation pattern of hypertrophy along with variable degrees of fibrosis. A 34‐year‐old female presented with symptoms suggestive of heart failure. Echocardiography showed concentric left ventricular hypertrophy with normal contractility. Cardiac MRI showed asymmetric septal hypertrophy with mid‐cavity obliteration and a spiral pattern of variably increasing wall thickness. Late gadolinium enhancement demonstrated several areas of abnormal post‐gadolinium uptake. We report a case of spiral HCM. We should consider cardiovascular magnetic resonance as the reference standard for diagnosing HCM.

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