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Case Reports
. 2009 Spring;14(1):e21-2.

Hypertrophic obstructive cardiomyopathy in rheumatoid arthtritis - coincidence or association? A case report

I Moyssakis  1 , N Lionakis, V Votteas
Affiliations
Case Reports

Hypertrophic obstructive cardiomyopathy in rheumatoid arthtritis - coincidence or association? A case report

I Moyssakis et al. Exp Clin Cardiol. 2009 Spring.

Abstract

A 60-year-old woman with a history of rheumatoid arthritis was admitted to the hospital for investigation of dyspnea on exertion (New York Heart Association class II), polyarthralgias and mild fever. An echocardiogram revealed asymmetric hypertrophy of the interventricular septum with signs of subaortic obstruction.The coexistence of rheumatoid arthritis and hypertrophic cardiomyopathy could be connected with the human lymphocyte antigen DR4, which is common in both conditions. Further studies are necessary to assess whether a true association of the above diseases exists.

Keywords: Hypertrophic obstructive cardiomyopathy; Rheumatoid arthritis.

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Figures

Figure 1)
Figure 1)
Two-dimensional echocardiographic image from the parasternal long-axis view of the patient’s left ventricle showing interventricular septum hypertrophy (left), and M-mode showing the systolic anterior movement (SAM) of the mitral valve leaflet (right)
See this image and copyright information in PMC

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