Asymmetrical Hypertrophic Cardiomyopathy Simulating Mitral Stenosis
| Autor: | Ralph Shabetai, Sidney Davidson |
|---|---|
| Rok vydání: | 1972 |
| Předmět: |
Adult
Cardiac Catheterization medicine.medical_specialty Diastole Cardiomyopathy Opening snap Diagnosis Differential Electrocardiography Physiology (medical) Internal medicine medicine Humans Mitral Valve Stenosis cardiovascular diseases medicine.diagnostic_test business.industry Hypertrophic cardiomyopathy Hypertrophy Middle Aged medicine.disease Stenosis medicine.anatomical_structure Echocardiography Ventricle Heart sounds cardiovascular system Cardiology Female Radiography Thoracic Radiology Cardiomyopathies Cardiology and Cardiovascular Medicine business |
| Zdroj: | Circulation. 45:37-45 |
| ISSN: | 1524-4539 0009-7322 |
| Popis: | Hypertrophic cardiomyopathy usually involves the left ventricle more severely than the right, and when asymmetrical may produce the syndrome of idiopathic subaortic stenosis. Less commonly, clinical manifestations of inflow-tract obstruction predominate and produce a syndrome that may be mistaken for mitral stenosis, principally because of an apical diastolic rumbling murmur. The probability of this diagnostic error and the risk of a consequent unnecessary operation can be reduced by appreciating the significance of the clues to left ventricular disease revealed by the electrocardiogram and the chest roentgenogram. Furthermore, proper timing of the heart sounds differentiates the protodiastolic filling sound of cardiomyopathy from the opening snap of mitral stenosis. The correct diagnosis is established following ventriculographic and hemodynamic studies. |
| Databáze: | OpenAIRE |
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