Systolic Flow Reversal in a Case of Mid-Ventricular Obstructive Hypertrophic Cardiomyopathy

Intern Med. 2015;54(14):1765-9. doi: 10.2169/internalmedicine.54.4153. Epub 2015 Jul 15.

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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Angiotensin II Type 2 Receptor Blockers / therapeutic use*
  • Calcium Channel Blockers / therapeutic use*
  • Cardiac Catheterization / methods*
  • Cardiomyopathy, Hypertrophic / diagnosis*
  • Cardiomyopathy, Hypertrophic / physiopathology
  • Cardiomyopathy, Hypertrophic / therapy
  • Chest Pain / etiology*
  • Chest Pain / physiopathology
  • Coronary Circulation
  • Echocardiography
  • Echocardiography, Doppler*
  • Humans
  • Magnetic Resonance Imaging*
  • Male
  • Treatment Outcome
  • Ventricular Outflow Obstruction / diagnosis*
  • Ventricular Outflow Obstruction / physiopathology
  • Ventricular Outflow Obstruction / therapy

Substances

  • Angiotensin II Type 2 Receptor Blockers
  • Calcium Channel Blockers