Differential diagnosis of left ventricular hypertrophy: usefulness of multimodality imaging and tissue characterization with cardiac magnetic resonance

Cemil Izgi, Vassilios Vassiliou, A John Baksi, Sanjay K Prasad

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Differential diagnosis of asymmetrical left ventricular hypertrophy may be challenging, particularly in patients with history of hypertension. A middle-aged man underwent an echocardiographic examination during workup for hypertension, which unexpectedly showed significant asymmetrical septal hypertrophy and raised suspicion for hypertrophic cardiomyopathy. Cardiovascular magnetic resonance confirmed the asymmetrical hypertrophy. No myocardial late gadolinium contrast enhancement was seen. However, precontrast T1 mapping revealed a low native myocardial T1 value. This was highly suggestive of Anderson-Fabry disease, which was subsequently proved with very low alpha galactosidase enzyme levels and mutation analysis. The case illustrates clinical usefulness of multimodality imaging and the novel tissue characterization techniques for assessment of left ventricular hypertrophy.

Original languageEnglish
Pages (from-to)1765-1768
Number of pages4
JournalEchocardiography
Volume33
Issue number11
Early online date10 Sep 2016
DOIs
Publication statusPublished - Nov 2016

Keywords

  • Anderson-Fabry disease
  • cardiac magnetic resonance imaging
  • echocardiography
  • hypertrophic cardiomyopathy
  • left ventricular hypertrophy

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