An unusual cause of left ventricular hypertrophy

Dimarco, Anthony; Mansoubi, Hatef; Tanner, Mark

doi:10.1093/eurheartj/ehv530

Cited by 3 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An increase in wall thickness of 5 to 7 mm in 26 months was considered implausible secondary to HCM, and, as expected in myocarditis, septal hypertrophy resolved on follow-up. The finding of transient LVH in myocarditis has been rarely described in the literature previously, 7 , 8 and the incidence remains unknown.…”

Section: Discussionmentioning

confidence: 95%

Acute Myocarditis Mimicking Hypertrophic Cardiomyopathy in Marfan Syndrome and Morphologically Abnormal Mitral Valve

et al. 2022

View full text Add to dashboard Cite

A 40-year-old man with Marfan syndrome presented with chest pain and troponin elevation. Urgent echocardiography was suggestive of hypertrophic cardiomyopathy, but cardiovascular magnetic resonance identified features of acute myocarditis. Repeated imaging 4 months later showed resolution of septal thickness, confirming acute myocarditis. ( Level of Difficulty: Intermediate. )

show abstract

Section: Discussionmentioning

confidence: 95%

Acute Myocarditis Mimicking Hypertrophic Cardiomyopathy in Marfan Syndrome and Morphologically Abnormal Mitral Valve

et al. 2022

View full text Add to dashboard Cite

show abstract

“…2 Prior studies have pointed out that HCM may sometimes manifest in a manner that resembles myocardial infarction. [3][4][5][6] Furthermore, there is a documented case indicating that myocardial edema, observed during the acute phase of Takotsubo syndrome 7 or myocarditis 8,9 Prior to the acute event, the patient underwent an echocardiogram, which revealed no alterations. Consequently, the observed increase in wall thickness of 5-7 mm over an 18-month period was deemed improbable as a result of HCM.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, there is a documented case indicating that myocardial edema, observed during the acute phase of Takotsubo syndrome 7 or myocarditis 8,9 can also mimic HCM. Myocardial fluid balance relies on microvascular filtration, interstitial hydration, cardiomyocyte water uptake, and lymphatic drainage.…”

Section: Discussionmentioning

confidence: 99%

Acute myocardial infarction mimicking hypertrophic cardiomyopathy: A case report

Carvalho,

Ferreira,

Fontes

et al. 2024

Sonography

View full text Add to dashboard Cite

An unusual case of apical myocarditis: a case report

Das

Kidambi

Plein

et al. 2020

European Heart Journal - Case Reports

View full text Add to dashboard Cite

Background Myocardial infarction with non-obstructed coronary arteries (MINOCA) syndrome accounts for ∼6–8% of acute coronary syndrome presentations. Historically, MINOCA has been thought of as a benign condition, however, recent evidence suggests that some aetiologies of MINOCA such as cardiomyopathies are associated with significantly higher mortality than other causes such as myocarditis. Therefore, identifying the underlying cause of MINOCA is important in determining patient management and prognosis. Case summary We describe the case of a 58-year-old lady with an acute admission with MINOCA syndrome. Cardiac magnetic resonance (CMR) examination on Day 9 demonstrated hypertrophy of the apical segments of the left ventricle (LV), with diffuse mid-wall hyper-enhancement on late gadolinium enhancement (LGE) images. T2-weighted imaging was suggestive of active inflammation in the hypertrophied segments. A repeat CMR scan was performed 3 months later showed normalization of LV wall thickness, LGE and T2 values in the apical segments. Discussion This case report highlights the benefits of CMR with oedema-weighted imaging in the acute stages of MINOCA syndrome, as well as the importance of serial imaging in this patient cohort. While baseline imaging raised the possibility of apical hypertrophic cardiomyopathy, resolution of apical hypertrophy on follow-up CMR showed that the patient had acute myocarditis, specifically involving the apical segments.

show abstract

An unusual cause of left ventricular hypertrophy

Cited by 3 publications

References 0 publications

Acute Myocarditis Mimicking Hypertrophic Cardiomyopathy in Marfan Syndrome and Morphologically Abnormal Mitral Valve

Acute Myocarditis Mimicking Hypertrophic Cardiomyopathy in Marfan Syndrome and Morphologically Abnormal Mitral Valve

Acute myocardial infarction mimicking hypertrophic cardiomyopathy: A case report

An unusual case of apical myocarditis: a case report

Contact Info

Product

Resources

About