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That said — distinction between "classic" HCM vs the apical HCM for m may be useful because: i ) ECG findings tend to be different ( Lyon et al — Europace 20:102-112iii, 2018 ) ; — ii ) Echo appearance is different when hypertrophy localizes to the apex; and , iii ) There is a significantly greater incidence of AFib with apical HCM.
See this case: what do you think the echocardiogram shows in this case? With the history of Afib, CTA abdomen was ordered to r/o mesenteric ischemia vs ischemic colitis vs small bowel obstruction. Am J Med 2019, 132(5):622-630. American Journal of Medicine 132(5):622-630; May 2019. The patient was placed on telemetry.
An echocardiogram was done. Kazmi et al have reported on a case in which chest trauma was transiently associated with development of a Brugada-1 ECG pattern ( J Am Coll Cardiol 73 [9-Supp-1], 2019 ). Other Arrhythmias ( PACs, PVCs, AFib, Bradycardia and AV conduction disorders — potentially lethal VT/VFib ).
Conditions such as AFib are often said to be associated with stroke as a consequence of cardioembolism. Another way of imaging the heart is via a transesophageal echocardiogram. Keywords: Cryptogenic strokes; AF; Afib; PFO; stroke; blood clots; thrombophilia; Antiphospholipid syndrome. This is called cardioembolism.
While awaiting transfer to the cath lab, STAT echocardiogram was performed and showed LVEF 30-35%, as well as anterior, inferior, and apical hypokinesis, and apical thrombus. The April 6, 2023 post — excessive baseline artifact misdiagnosed as AFib ( instead of sinus rhythm with AV Wenckebach — as in Figure-4 in this post ).
Later, he underwent a formal echocardiogram: Very severe left ventricular enlargement (LVED diameter 7.4 E CG # 2 in Figure-1 is from the October 16, 2019 post on Dr. Smith’s Blog. I review my S ystematic A pproach to Rhythm Interpretation in detail in My Comment to the October 16, 2019 post on Dr. Smith’s ECG Blog.
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