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Echocardiogram showing thickened interventricular septum and mitral regurgitation in HCM. Mid cavity obstruction in HCM is associated with apical aneurysm, systemic embolism, and arrhythmias. Evaluation of diastolic characteristics of LV and LV and coronary anatomy evaluation are other diagnostic uses of cath in HCM.
Compare to the anatomy after stenting: The lower of the 2 now easily seen branches is the circumflex, now with excellent flow. Next day echocardiogram showed inferolateral hypokinesia with an EF of %45-50. This is seen just millimeters beyond the tip of the catheter. The patient recovered well. His peak troponin was over 5000 ng/L.
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