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. 2015 Apr 23;2015(4):276-7.
doi: 10.1093/omcr/omv029. eCollection 2015 Apr.

An unexpected cause of hypertrophic myocardium

Affiliations

An unexpected cause of hypertrophic myocardium

George Lathra Mathew et al. Oxf Med Case Reports. .
No abstract available

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Figures

Figure 1:
Figure 1:
Four-chamber transthoracic echocardiography demonstrating moderate myocardial hypertrophy and mildly dilated atria.
Figure 2:
Figure 2:
(a) A hypertrophic myocardium with mildly dilated atria. (b) Diffuse enhancement associated with a relatively dark blood pool (difficult ‘nulling’) of the myocardium, typical of cardiac amyloid.
Figure 3:
Figure 3:
T1 map following motion correction and co-registration to enable calculation of native T1 values. In this case, the septal value was elevated at 1148 ms suggestive of light chain amyloid deposition (AL amyloid) and demonstrating how new techniques can be utilized to aid the diagnosis of rare pathology.

References

    1. Maceira AM, Joshi J, Prasad SK, Moon JC, Perugini E, Harding I, et al. Cardiovascular magnetic resonance in cardiac amyloidosis. Circulation 2005;111:186–93. - PubMed
    1. Karamitsos TD, Piechnik SK, Banypersad SM, Fontana M, Ntusi NB, Ferreira VM, et al. Noncontrast T1 mapping for the diagnosis of cardiac amyloidosis. JACC Cardiovasc Imaging 2013;6:488–97. - PubMed

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