Asymmetrical Hypertrophic Cardiomyopathy Simulating Mitral Stenosis
作者:
Ralph Shabetai,
Sidney Davidson,
期刊:
Circulation
(OVID Available online 1972)
卷期:
Volume 45,
issue 1
页码: 37-45
ISSN:0009-7322
年代: 1972
出版商: OVID
关键词: Mitral valvotomy;Cardiomyopathy with inflow-tract obstruction;Left ventriculogram;Electrocardiography;Echocardiography
数据来源: OVID
摘要:
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.
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