Atypical and typical chest pains are common symptoms in patients with hypertrophic cardiomyopathy. Some of these chest pains seem to be caused by ischaemia. It is difficult to objectively demonstrate ischaemia in hypertrophic cardiomyopathy. The first line treatment for chest pain considered to be ischaemic in patients with hypertrophic cardiomyopathy is the use of either a beta blocker or calc...

An infant with anomalous origin of the left coronary artery from the pulmonary trunk presented with congestive cardiomyopathy. Only cross sectional echocardiography gave a definitive diagnosis. The results of cardiac catheterisation and angiography were inconclusive. Surgical repair was performed successfully after the results of cross sectional echocardiography were known.

INTRODUCTION Among long term athletes there is always present hypertrophy of the left ventricle walls as well as increased cardiac mass. These changes are the result of the heart muscle adaptation to load during the years of training, which should not be considered as pathology. In people suffering from hypertrophic cardiomyopathy (HCM), there is also present hypertrophy of the left ventricle w...

In this edition of the Medical Journal of Indonesia, Mavridis et al1 reported a rare case of takotsubo cardiomyopathy. In this case, a pneumothorax patients suffered continuous shortness of breath although pulmonary collapse has been relieved after sealed drainage. Specific STsegment elevation on ECG along with elevation of troponin I, have led the physician to confirm diagnosis of myocardial i...

We report a 28 years old male presenting with heart failure. A thorough clinical evaluation directed us towards restrictive heart disease. Doppler echocardiographic study was used as a main modality of diagnosis and cardiac catheterization confirmed the diagnosis of idiopathic restrictive cardiomyopathy. We express the contribution of clinical findings and appropriate diagnostic measures in app...

A 41-year-old woman had Noonan's syndrome. Her heart was complicated by asymmetric septal hypertrophy, hypertrophy of the left ventricular free wall, severe pulmonary stenosis, and right ventricular hypertension. On autopsy, a quantitative histologic analysis of the heart revealed that the area of disarray was limited both to the ventricular septum and the left ventricular free wall as in a nor...

To determine the mode of inheritance of hypertrophic cardiomyopathy 193 first degree relatives (parents, siblings, and offspring) of 50 patients with hypertrophic cardiomyopathy were assessed by clinical examination, electrocardiography, M mode and cross sectional echocardiography, and necropsy when available. Thirty nine (20%) first degree relatives had hypertrophic cardiomyopathy--37% of pare...

The clinical differentiation of hypertensive heart disease from hypertrophic cardiomyopathy usually presents no problem but it is less clear whether an echocardiographic distinction can always be made and, if so, what those echocardiographic criteria of difference are. It can be inferred from recent publications that when echocardiographic criteria for hypertrophic cardiomyopathy are met in hyp...

Diabetes effects start in utero and affect neonates, infants, children and adolescent. Gestational diabetes may have overwhelming effects on the embryonic heart as well as the infants born to diabetic mothers. The neonates and infants suffering this metabolic disease may have considerable cardiovascular effects [1]. Hypertrophic cardiomyopathy is a well known condition observed in infants of di...

Takotsubo cardiomyopathy, also known as stress-induced is a temporary left ventricular dysfunction caused by catecholamine surge under severe stress. It's characterized chest pain, non-specific ECG changes, and apical ballooning observed during catheterization. We present case of 59-year-old postmenopausal female with past medical history asthma who arrived at the ED complaining pain following ...