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Case Reports
. 2008 Dec 17;131(1):e41-3.
doi: 10.1016/j.ijcard.2007.07.062. Epub 2007 Oct 24.

Myocardial fibrosis in a patient with apical hypertrophic cardiomyopathy detected by delayed-enhanced magnetic resonance imaging

Yuichi Sato, Naoya Matsumoto, Taeko Kunimasa, Shinro Matsuo, Shunichi Yoda, Shigemasa Tani, Satoshi Kunimoto, Satoshi Saito, Atsushi Hirayama
Case Reports

Myocardial fibrosis in a patient with apical hypertrophic cardiomyopathy detected by delayed-enhanced magnetic resonance imaging

Yuichi Sato et al. Int J Cardiol. .

Abstract

We report a case of apical hypertrophic cardiomyopathy (HCM) presenting with non-sustained ventricular tachycardia. Whole-heart magnetic resonance imaging (MRI) showed normal coronary arteries and confirmed the diagnosis of apical HCM. First-pass gadolinium delayed-enhanced MRI showed local delayed enhancement in the endomyocardium in the hypertrophic lesion. The presence of perfusion defect and delayed enhancement may be a marker of a high-risk patient with apical HCM.

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