Literature DB >> 33841595

Exercise-induced diastolic paradoxical jet flow in a patient with hypertrophic cardiomyopathy.

Mayumi Takeoka1, Michiyo Yamano2, Tatsuya Kawasaki2.   

Abstract

Early diastolic flow from the apex toward the base of the left ventricle - diastolic paradoxical jet flow - may be observed at rest in patients with hypertrophic cardiomyopathy (HCM). We herein report a case of HCM with exercise-induced diastolic paradoxical jet flow, accompanied by an apical myocardial perfusion abnormality of the left ventricle. A 56-year-old man was referred for the further evaluation of abnormal electrocardiography at a medical check-up. Echocardiography showed myocardial hypertrophy predominantly in the apex of the left ventricle with a maximum wall thickness of 27 mm without an apical aneurysm. Paradoxical jet flow was not detected at rest, but developed after treadmill exercise and lasted for approximately six minutes. Exercise scintigraphy with thallium-201 showed reduced tracer uptake in the left ventricular apex with complete redistribution, findings consistent with myocardial ischemia of the left ventricular apex.
© 2021 Published by Elsevier Ltd on behalf of Japanese College of Cardiology.

Entities:  

Keywords:  Echocardiography; Exercise; Hypertrophic cardiomyopathy; Ischemia; Paradoxical jet flow

Year:  2021        PMID： 33841595      PMCID： PMC8020062          DOI： 10.1016/j.jccase.2020.12.008

Source DB:  PubMed          Journal:  J Cardiol Cases        ISSN： 1878-5409


  10 in total

1.  Sustained cavity obliteration and apical aneurysm formation in apical hypertrophic cardiomyopathy.

Authors:  Kinya Matsubara; Takashi Nakamura; Toshiro Kuribayashi; Akihiro Azuma; Masao Nakagawa
Journal:  J Am Coll Cardiol       Date:  2003-07-16       Impact factor: 24.094

2.  Diastolic paradoxic jet flow in patients with hypertrophic cardiomyopathy: evidence of concealed apical asynergy with cavity obliteration.

Authors:  T Nakamura; K Matsubara; K Furukawa; A Azuma; H Sugihara; H Katsume; M Nakagawa
Journal:  J Am Coll Cardiol       Date:  1992-03-01       Impact factor: 24.094

3.  Prevalence, clinical significance, and natural history of left ventricular apical aneurysms in hypertrophic cardiomyopathy.

Authors:  Martin S Maron; John J Finley; J Martijn Bos; Thomas H Hauser; Warren J Manning; Tammy S Haas; John R Lesser; James E Udelson; Michael J Ackerman; Barry J Maron
Journal:  Circulation       Date:  2008-09-22       Impact factor: 29.690

4.  A case of hypertrophic cardiomyopathy with mid-ventricular obstruction (MVO) -- dramatic long-term improvement with a DDD pacemaker as assessed by diastolic paradoxical jet flow velocity.

Authors:  Yoshio Sasaki; Takeshi Inoue; Hiroki Beppu; Kuniyuki Shirasawa; Yoshitomi Kida; Shinichi Takeda; Hiroyuki Ayukawa; Akihiro Shirasaka; Tadashi Kakio; Tetsuya Doi; Tetsuo Hashimoto; Chuichi Kawai
Journal:  Int J Cardiol       Date:  2011-06-12       Impact factor: 4.164

5.  [Long-term follow-up of electrocardiographic changes in patients with asymmetric apical hypertrophy].

Authors:  T Nakamura; K Furukawa; K Matsubara; H Kitamura; H Sugihara; D Inoue; J Asayama; H Katsume; M Nakagawa; H Kunishige
Journal:  J Cardiol       Date:  1990       Impact factor: 3.159

6.  [Assessment of myocardial perfusion abnormalities in patients with apical hypertrophic cardiomyopathy using exercise 201Tl scintigraphy].

Authors:  H Sugihara; Y Taniguchi; K Ohtsuki; I Umamoto; T Nakazawa; T Shima; T Nakamura; A Azuma; Y Kohno; M Nakagawa
Journal:  Kokyu To Junkan       Date:  1993-11

7.  [Paradoxical left ventricular blood flow during the isovolumic relaxation period in non-obstructive hypertrophic cardiomyopathy: Doppler and M-mode echocardiographic study].

Authors:  T Shiota; T Sakamoto; K Takenaka; J Suzuki; W Amano; T Igarashi; K Amano; T Sugimoto
Journal:  J Cardiol       Date:  1990       Impact factor: 3.159

8.  [Intraventricular flow dynamics in hypertrophic cardiomyopathy with midventricular obstruction investigated by Doppler echocardiography].

Authors:  T Nakamura; H Kitamura; K Furukawa; K Matsubara; T Katahira; S Okamuro; Y Tsuji; T Takahashi; H Kunishige; H Katsume
Journal:  J Cardiol       Date:  1989-06       Impact factor: 3.159

9.  [Follow-up study of diastolic paradoxical flow in the left ventricle with apical hypertrophic cardiomyopathy].

Authors:  Aki Noguchi; Naoko Ishizuka; Kyomi Tanimoto; Hiroshi Kasanuki
Journal:  J Cardiol       Date:  2006-01       Impact factor: 3.159

10.  Bisoprolol Successfully Improved the Intraventricular Pressure Gradient in a Patient with Midventricular Obstructive Hypertrophic Cardiomyopathy with an Apex Aneurysm due to Apical Myocardial Damage.

Authors:  Ayano Tezuka; Kenjuro Higo; Yuta Nakamukae; Sanae Nishihara; Masaki Kamikawa; Chihiro Shimofuku; Kazumasa Kawazoe; Mitsuru Ohishi
Journal:  Intern Med       Date:  2018-10-17       Impact factor: 1.271
  10 in total

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