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Revista Cubana de Cardiología y Cirugía Cardiovascular

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2022, Number 3

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Rev Cubana Cardiol Cir Cardiovasc 2022; 28 (3)

The Mid-ventricular hypertrophic obstructive cardiomyopathy associated to coronary ectasia and artery intramyocardial bridging.

Borges LJS, Mares OAR, Barón CJL, Ochoa PV, Castaño GRJ, Ayala HE
Full text How to cite this article

Language: Spanish
References: 6
Page: 1-3
PDF size: 639.23 Kb.


Key words:

mid-ventricular hypertrophic obstructive cardiomyopathy, coronary ectasia, myocardial bridging, myectomy.

ABSTRACT

The hypertrophic cardiomyopathy (HCM) is a hereditary disease defined as an increase in the wall thickness in one or more myocardial segments in the absent of any other cardiac, systemic or metabolic condition that may justify this disease. It is of autosomal dominant transmission due to mutations in various cardiac sarcomere protein genes. HCM is divided into obstructive and non-obstructive. The former includes the mid-ventricular variant, a rare form of presentation that could be accompanied or not by apical aneurysm, ventricular arrhythmia, and sudden death. It is described the case of a 54-year-old male patient, with an evident obstructive HCM, mid-ventricular variant, associated to Markis type I coronary ectasia, myocardial bridging in the middle distal segment of the anterior descending artery, in which the physical exam and the imaging studies played an important role for the diagnosis.


REFERENCES

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  5. Spertus JA, Fine JT, Elliott P, Ho C, Olivotto, I, Saberi S, et al. Mavacamten for treatment of symptomatic obstructive hypertrophic cardiomyopathy (EXPLORER-HCM): health status analysis of a randomized, double-blind, placebo-controlled, phase 3 trial. Lancet. 2021;397(10293):2467-75. DOI: https://doi.org/10.1016/S0140-6736(21)00763-7

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Rev Cubana Cardiol Cir Cardiovasc. 2022;28