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Open Access 01-01-2013 | Oral presentation
A new variant of apical hypertrophic cardiomyopathy? T wave inversion and relative but not absolute apical left ventricular hypertrophy
Published in: Journal of Cardiovascular Magnetic Resonance | Special Issue 1/2013
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Some patients present with ECG changes and symptoms that suggest HCM, but imaging using conventional wall thickness (WT) criteria is non-diagnostic. We noted that these criteria fail to take account of the normal left ventricular wall tapering towards the apex and hypothesized that there is an apical HCM variant: patients with T-wave inversion (TWI) and HCM like features with relative apical hypertrophy not fulfilling current conventional criteria (fig-1). We sought to define these characteristics compared to health, HCM and cardiac changes in hypertension.
Figure 1
Percent of cohort with between 0 and 4 disease characteristics
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