Subendocardial ischemia in hypertrophic cardiomyopathy

Abstract Hypertrophic cardiomyopathy (HCM) patients often develop subendocardial ischemia in the left ventricle without atherosclerotic coronary stenosis. Myocardial ischemia plays an important role in the pathophysiology of HCM, but diagnostic techniques for the detection of subendocardial ischemia...

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Veröffentlicht in:Journal of cardiology 2014-02, Vol.63 (2), p.89-94
Hauptverfasser: Kawasaki, Tatsuya, MD, PhD, Sugihara, Hiroki, MD, PhD
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container_title Journal of cardiology
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creator Kawasaki, Tatsuya, MD, PhD
Sugihara, Hiroki, MD, PhD
description Abstract Hypertrophic cardiomyopathy (HCM) patients often develop subendocardial ischemia in the left ventricle without atherosclerotic coronary stenosis. Myocardial ischemia plays an important role in the pathophysiology of HCM, but diagnostic techniques for the detection of subendocardial ischemia have not been widely available. We developed specific techniques to quantify subendocardial ischemia on stress scintigraphy, and have compared the results with various clinical features in patients with HCM. This article reviews our understanding of subendocardial ischemia in HCM based on more than 20 years of experience.
doi_str_mv 10.1016/j.jjcc.2013.10.005
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Myocardial ischemia plays an important role in the pathophysiology of HCM, but diagnostic techniques for the detection of subendocardial ischemia have not been widely available. We developed specific techniques to quantify subendocardial ischemia on stress scintigraphy, and have compared the results with various clinical features in patients with HCM. 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subjects Bridged Bicyclo Compounds, Heterocyclic
Cardiomyopathies
Cardiomyopathy, Hypertrophic - complications
Cardiomyopathy, Hypertrophic - drug therapy
Cardiovascular
Diagnostic Imaging
Diltiazem - administration & dosage
Echocardiography
Follow-Up Studies
Humans
Hypertrophic
Ischemia
Magnetic Resonance Imaging
Male
Middle Aged
Myocardial Ischemia - diagnosis
Myocardial Ischemia - drug therapy
Myocardial Ischemia - etiology
Positron-Emission Tomography
Prognosis
Prospective Studies
Pyrimidinones
Subendocardium
Tomography, Emission-Computed, Single-Photon
Verapamil - administration & dosage
title Subendocardial ischemia in hypertrophic cardiomyopathy
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