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Open Access Highly Accessed Review

Echocardiography in patients with hypertrophic cardiomyopathy: usefulness of old and new techniques in the diagnosis and pathophysiological assessment

Maria-Angela Losi1*, Stefano Nistri2, Maurizio Galderisi3, Sandro Betocchi1, Franco Cecchi4, Iacopo Olivotto4, Eustachio Agricola5, Piercarlo Ballo6, Simona Buralli7, Antonello D'Andrea8, Arcangelo D'Errico3, Donato Mele9, Susanna Sciomer10, Sergio Mondillo1011 and the Working Group of Echocardiography of the Italian Society of Cardiology

Author Affiliations

1 Department of Clinical Medicine, Cardiovascular and Immunological Sciences, University Federico II, Naples, Italy

2 CMSR Veneto Medica -Altavilla Vicentina, Italy

3 Department of Clinical and Experimental Medicine, University Federico II, Naples, Italy

4 Referral Center for Myocardial Diseases, Careggi University Hospital, Florence

5 Noninvasive Cardiology Unit, Ospedale San Raffaele, IRCCS, Milano, Italy

6 Cardiology Operative Unit, S. Maria Annunziata Hospital, Firenze, Italy

7 Department of Clinical Medicine, University of Pisa, Pisa, Italy

8 Chair of Cardiology, Second University of Naples, Naples, Italy

9 Azienda Ospedaliera Universitaria, Ferrara, Italy

10 Department of Cardiovascular, Respiratory and Morphological Sciences, University of Rome, University La Sapienza, Rome, Italy

11 Department of Cardiovascular Diseases, University of Siena, Italy

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Cardiovascular Ultrasound 2010, 8:7  doi:10.1186/1476-7120-8-7

Published: 17 March 2010

Abstract

Hypertrophic cardiomyopathy (HCM) is one of the most common inherited cardiomyopathy. The identification of patients with HCM is sometimes still a challenge. Moreover, the pathophysiology of the disease is complex because of left ventricular hyper-contractile state, diastolic dysfunction, ischemia and obstruction which can be coexistent in the same patient. In this review, we discuss the current and emerging echocardiographic methodology that can help physicians in the correct diagnostic and pathophysiological assessment of patients with HCM.