One more HCM with dynamic LVOTO , SAM , and MR Family history of a Cousin and grandmother sudden death. #AHMED_SAID_ECHO | Ahmed Said
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🔴 YAMAGUCHI SYNDROME (Apical HCM) – ECHO CW DOPPLER PEARLS 🔴 🫀 Marked apical LV hypertrophy ♠️ “Ace-of-spades” LV cavity (end-diastole) ⚡ Normal / hyperdynamic EF 🚫 No significant LVOT obstruction ⏳ Diastolic dysfunction common ⚠️ Apical cavity obliteration ± aneurysm 📈 CW Doppler: 🔹 No dynamic LVOT gradient 🔹 Mid-cavity / apical systolic gradient (late-peaking, dagger-shaped) 🔹 Higher apical velocities due to cavity obliteration 📌 Classic ApHCM = apical thickening with mid-to-apical gr
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LVOTO vs midventricular vs apical gradients — let’s see where the problem lies 🤔💭. #heartnlungs #ultrasound #echocardiography #lvoto #doppler #cmp #hocmp #hypertrophy #hypertrophic #hypertrophiccardiomyopathy #cardiomyopathy #obstruction #pwdoppler | heart_n_lungs
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