Papilar anômalo e outros achados

Apically displaced papillary muscles mimicking apical hypertrophic cardiomyopathy Aqui Link.

Apical hypertrophic cardiomyopathy (ApHCM) is a subtype of hypertrophic cardiomyopathy, which is clinically suspected by a characteristic giant negative T (GNT) wave on electrocardiogram (ECG) and diagnosed by demonstrating apical hypertrophy on ECG. However, GNT may not always be specific for ApHCM as in this report of apically displaced papillary muscle (ADPM).

Conclusion These findings suggest that ADPM may also be present with GNT on 12-lead ECG and emphasizes the careful evaluation of the left ventricular apex for proper diagnosis and discrimination of ApHCM. ./././././././././././././././././././././././././././././././././././././././././././ O ano passado foi repleto de achados anômalos no ventrículo esquerdo. Tendões na via de saída mimetizando hipertrofia septal assimétrica, papilares anômalos na via de saída ou no ápice, cordas e bandas produzindo ausculta de sopro!

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