Many faces of HCM! Crazy #WhyCMR case | 50 yo female, very mild LVH (IVS 11-12 mm) | Follow me | I think @MasriAhmadMD will like this one! #Cardiotwitter @SCMRorg @scmrchd
3Ch Mild LVH
2C | WOW looking deep inferior CRYPTS 🧐
ZERO FIBROSIS (No LGE) | Normal T1-ECV
So about CRYPTS in absence of LVH (or very mild LVH)
Max Wall thickness polar map | MILD LVH
GENES! 🧬
REFERENCES!
1| Myocardial crypts as a preclinical sign of hypertrophic cardiomyopathy | PMID 26052206
2| Multiple myocardial crypts on modified long-axis view are a specific finding in pre-hypertrophic HCM mutation carriers
doi.org/10.1093/ehjci/…

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More from @ecocardio_cl

Jan 11, 2020
1/5 THREAD ⏬ old but STRIKING #Echofirst #WhyCMR #CardioTwitter case with a 😱😱😱😱 **** LGE! First #EchoFirst
18 y.o. male, Heart Failure👻NYHA IV in 3 months 📛 F/H: Mother died age 38 yo of sudden cardiac death.
2/ Then add some #WhyCMR along
3/ Some SAX in #Echofirst and #WhyCMR
Read 14 tweets

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