Pfd On Echogram

Diastolic function;

Normal highly compliant LV; brisk

Impaired diastolic indices with reduced

E velocities m

E velocities m

E velocities m

Left atrial size

Normal

Enlarged

EF, ejection fraction; ECG, electrocardiogram; LV, left ventricular; LVH, left ventricular hypertrophy.

EF, ejection fraction; ECG, electrocardiogram; LV, left ventricular; LVH, left ventricular hypertrophy.

Echocardiography Images

Fig. 29. Case presentation: hypertensive cardiomyopathy. These images are from a 33-yr-old Haitian immigrant who was perfectly "well" until he vomited and fell to the floor unresponsive. Admission blood pressure was 300/150 mmHg show severe concentric left ventricular hypertrophy on two-dimensional and M-mode. Computed tomography scan showed a large right frontoparietal acute hemorrhage with subarachnoid and intraventricular extension.

Fig. 29. Case presentation: hypertensive cardiomyopathy. These images are from a 33-yr-old Haitian immigrant who was perfectly "well" until he vomited and fell to the floor unresponsive. Admission blood pressure was 300/150 mmHg show severe concentric left ventricular hypertrophy on two-dimensional and M-mode. Computed tomography scan showed a large right frontoparietal acute hemorrhage with subarachnoid and intraventricular extension.

Standards for the echocardiographic diagnosis of LVH on echocardiography compare left ventricular mass to body surface area (left ventricular mass index >134 g/m2 [men] and >110 g/ m2 [women]), or height (>163 g/m for men and >121 g/m for women). Left ventricular mass calculations are based on geometric assumptions of the left ventricle (see Chapter 5, Table 5 and Fig. 13). 3D echocardiography

Echocardiography Images

Fig. 30. Case presentation: hypertensive cardiomyopathy. Apical four-chamber view shows isolated marked concentric left ventricular hypertrophy with left atrial dilatation (A). Doppler tissue imaging, mitral inflow patterns, and right upper pulmonary venous flow Doppler showed evidence of impaired diastolic function (B-D).

Fig. 30. Case presentation: hypertensive cardiomyopathy. Apical four-chamber view shows isolated marked concentric left ventricular hypertrophy with left atrial dilatation (A). Doppler tissue imaging, mitral inflow patterns, and right upper pulmonary venous flow Doppler showed evidence of impaired diastolic function (B-D).

Cardiomyopathy
Fig. 31. Case presentation: hypertensive cardiomyopathy. Gross heart specimen showed cardiomegaly (740 g, normal < 360 g) with severe concentric cardiomyopathy). A small left ventricular papillary muscle infarct and pericardial effusion measuring 100 mL were present.

Table 14

Hypertensive Cardiomyopathy: Echocardiography Findings: A Summary

Table 14

Hypertensive Cardiomyopathy: Echocardiography Findings: A Summary

Modality

Description

Two-dimensional

• Concentric left ventricular

findings

hypertrophy

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  • Attilio
    How to measure left ventricular hypertrophy histology?
    3 years ago

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