Abstract
A 69-year-old man presented to our hospital with chest pain. Two-dimensional transthoracic echocardiography showed hypertrophy of the left ventricle, mid-ventricular obstruction and an apical aneurysm. Color-flow imaging at the obstruction site on the apical four-chamber view demonstrated systolic flow reversal in addition to a paradoxical jet flow. The systolic flow reversal may have been caused by a decreased apical contractility and pressure during systole.
MeSH terms
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Aged
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Angiotensin II Type 2 Receptor Blockers / therapeutic use*
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Calcium Channel Blockers / therapeutic use*
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Cardiac Catheterization / methods*
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Cardiomyopathy, Hypertrophic / diagnosis*
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Cardiomyopathy, Hypertrophic / physiopathology
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Cardiomyopathy, Hypertrophic / therapy
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Chest Pain / etiology*
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Chest Pain / physiopathology
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Coronary Circulation
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Echocardiography
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Echocardiography, Doppler*
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Humans
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Magnetic Resonance Imaging*
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Male
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Treatment Outcome
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Ventricular Outflow Obstruction / diagnosis*
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Ventricular Outflow Obstruction / physiopathology
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Ventricular Outflow Obstruction / therapy
Substances
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Angiotensin II Type 2 Receptor Blockers
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Calcium Channel Blockers