Cardiac magnetic resonance as a risk re-stratification tool in apical hypertrophic cardiomyopathy

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Apical hypertrophic cardiomyopathy (ApHCM) can result in the formation of a left ventricular apical aneurysm and progressive myocardial fibrosis, which is associated with a worse prognosis. We present the case of a 76-year-old man previously diagnosed with ApHCM seven years ago, who has been under c...

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Autores: Larriva, Ana María, Rosales Uvera, Sandra, Vásquez, Zuilma, Fernández, Beatriz, Chango Azanza, Diego Xavier
Formato: artículo
Fecha de Publicación:2023
Institución:Instituto Nacional Cardiovascular
Repositorio:Archivos peruanos de cardiología y cirugía cardiovascular
Lenguaje:inglés
OAI Identifier:oai:ojs.apcyccv.org.pe:article/289
Enlace del recurso:https://apcyccv.org.pe/index.php/apccc/article/view/289
Nivel de acceso:acceso abierto
Materia:Apical Hypertrophic Cardiomyopathy
Cardiac Aneurysm
Echocardiography
Cardiac Magnetic Resonance
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spelling Cardiac magnetic resonance as a risk re-stratification tool in apical hypertrophic cardiomyopathyCardiac magnetic resonance as a risk re-stratification tool in apical hypertrophic cardiomyopathyLarriva, Ana MaríaRosales Uvera, SandraVásquez, ZuilmaFernández, BeatrizChango Azanza, Diego XavierApical Hypertrophic CardiomyopathyCardiac AneurysmEchocardiographyCardiac Magnetic ResonanceApical Hypertrophic CardiomyopathyCardiac AneurysmEchocardiographyCardiac Magnetic Resonance Apical hypertrophic cardiomyopathy (ApHCM) can result in the formation of a left ventricular apical aneurysm and progressive myocardial fibrosis, which is associated with a worse prognosis. We present the case of a 76-year-old man previously diagnosed with ApHCM seven years ago, who has been under clinical follow-up. Serial cardiac magnetic resonance (CMR) imaging was performed in 2013 and 2020 due to suspected apical aneurysm formation based on echocardiographic evaluation. The 2020 CMR imaging revealed an increase in myocardial fibrosis observed through late-gadolinium enhancement images and, for the first time, a small apical aneurysm that was not clearly visualized on two-dimensional echocardiography. The time course leading to the development of an ApHCM aneurysm is not well-defined and may impact the clinical course. Apical hypertrophic cardiomyopathy (ApHCM) can result in the formation of a left ventricular apical aneurysm and progressive myocardial fibrosis, which is associated with a worse prognosis. We present the case of a 76-year-old man previously diagnosed with ApHCM seven years ago, who has been under clinical follow-up. Serial cardiac magnetic resonance (CMR) imaging was performed in 2013 and 2020 due to suspected apical aneurysm formation based on echocardiographic evaluation. The 2020 CMR imaging revealed an increase in myocardial fibrosis observed through late-gadolinium enhancement images and, for the first time, a small apical aneurysm that was not clearly visualized on two-dimensional echocardiography. The time course leading to the development of an ApHCM aneurysm is not well-defined and may impact the clinical course. Instituto Nacional Cardiovascular “Carlos Alberto Peschiera Carrillo” – INCOR, EsSalud2023-06-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-Review articleArtículo evaluado por paresapplication/pdfhttps://apcyccv.org.pe/index.php/apccc/article/view/289Archivos Peruanos de Cardiología y Cirugía Cardiovascular; Vol. 4 No. 2 (2023); 77-81Archivos Peruanos de Cardiología y Cirugía Cardiovascular; Vol. 4 Núm. 2 (2023); 77-812708-7212reponame:Archivos peruanos de cardiología y cirugía cardiovascularinstname:Instituto Nacional Cardiovascularinstacron:INCORenghttps://apcyccv.org.pe/index.php/apccc/article/view/289/436Derechos de autor 2023 La revista es titular de la primera publicación, luego el autor dando crédito a la primera publicación.https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessoai:ojs.apcyccv.org.pe:article/2892023-09-13T02:59:26Z
dc.title.none.fl_str_mv Cardiac magnetic resonance as a risk re-stratification tool in apical hypertrophic cardiomyopathy
Cardiac magnetic resonance as a risk re-stratification tool in apical hypertrophic cardiomyopathy
title Cardiac magnetic resonance as a risk re-stratification tool in apical hypertrophic cardiomyopathy
spellingShingle Cardiac magnetic resonance as a risk re-stratification tool in apical hypertrophic cardiomyopathy
Larriva, Ana María
Apical Hypertrophic Cardiomyopathy
Cardiac Aneurysm
Echocardiography
Cardiac Magnetic Resonance
Apical Hypertrophic Cardiomyopathy
Cardiac Aneurysm
Echocardiography
Cardiac Magnetic Resonance
title_short Cardiac magnetic resonance as a risk re-stratification tool in apical hypertrophic cardiomyopathy
title_full Cardiac magnetic resonance as a risk re-stratification tool in apical hypertrophic cardiomyopathy
title_fullStr Cardiac magnetic resonance as a risk re-stratification tool in apical hypertrophic cardiomyopathy
title_full_unstemmed Cardiac magnetic resonance as a risk re-stratification tool in apical hypertrophic cardiomyopathy
title_sort Cardiac magnetic resonance as a risk re-stratification tool in apical hypertrophic cardiomyopathy
dc.creator.none.fl_str_mv Larriva, Ana María
Rosales Uvera, Sandra
Vásquez, Zuilma
Fernández, Beatriz
Chango Azanza, Diego Xavier
author Larriva, Ana María
author_facet Larriva, Ana María
Rosales Uvera, Sandra
Vásquez, Zuilma
Fernández, Beatriz
Chango Azanza, Diego Xavier
author_role author
author2 Rosales Uvera, Sandra
Vásquez, Zuilma
Fernández, Beatriz
Chango Azanza, Diego Xavier
author2_role author
author
author
author
dc.subject.none.fl_str_mv Apical Hypertrophic Cardiomyopathy
Cardiac Aneurysm
Echocardiography
Cardiac Magnetic Resonance
Apical Hypertrophic Cardiomyopathy
Cardiac Aneurysm
Echocardiography
Cardiac Magnetic Resonance
topic Apical Hypertrophic Cardiomyopathy
Cardiac Aneurysm
Echocardiography
Cardiac Magnetic Resonance
Apical Hypertrophic Cardiomyopathy
Cardiac Aneurysm
Echocardiography
Cardiac Magnetic Resonance
description Apical hypertrophic cardiomyopathy (ApHCM) can result in the formation of a left ventricular apical aneurysm and progressive myocardial fibrosis, which is associated with a worse prognosis. We present the case of a 76-year-old man previously diagnosed with ApHCM seven years ago, who has been under clinical follow-up. Serial cardiac magnetic resonance (CMR) imaging was performed in 2013 and 2020 due to suspected apical aneurysm formation based on echocardiographic evaluation. The 2020 CMR imaging revealed an increase in myocardial fibrosis observed through late-gadolinium enhancement images and, for the first time, a small apical aneurysm that was not clearly visualized on two-dimensional echocardiography. The time course leading to the development of an ApHCM aneurysm is not well-defined and may impact the clinical course.
publishDate 2023
dc.date.none.fl_str_mv 2023-06-30
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-Review article
Artículo evaluado por pares
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://apcyccv.org.pe/index.php/apccc/article/view/289
url https://apcyccv.org.pe/index.php/apccc/article/view/289
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://apcyccv.org.pe/index.php/apccc/article/view/289/436
dc.rights.none.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Instituto Nacional Cardiovascular “Carlos Alberto Peschiera Carrillo” – INCOR, EsSalud
publisher.none.fl_str_mv Instituto Nacional Cardiovascular “Carlos Alberto Peschiera Carrillo” – INCOR, EsSalud
dc.source.none.fl_str_mv Archivos Peruanos de Cardiología y Cirugía Cardiovascular; Vol. 4 No. 2 (2023); 77-81
Archivos Peruanos de Cardiología y Cirugía Cardiovascular; Vol. 4 Núm. 2 (2023); 77-81
2708-7212
reponame:Archivos peruanos de cardiología y cirugía cardiovascular
instname:Instituto Nacional Cardiovascular
instacron:INCOR
instname_str Instituto Nacional Cardiovascular
instacron_str INCOR
institution INCOR
reponame_str Archivos peruanos de cardiología y cirugía cardiovascular
collection Archivos peruanos de cardiología y cirugía cardiovascular
repository.name.fl_str_mv
repository.mail.fl_str_mv
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