open access

Vol 19, No 6 (2012)
Case Reports
Published online: 2012-12-06
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Progressive breathlessness in an Afro Caribbean hypertensive subject

Girish Dwivedi, Robert J. MacFadyen, Chetan Varma, Vishal Sharma, Desley Neil, Richard P. Steeds
DOI: 10.5603/CJ.2012.0120
·
Cardiol J 2012;19(6):646-649.

open access

Vol 19, No 6 (2012)
Case Reports
Published online: 2012-12-06

Abstract

The sensitivity and specificity of structural assessment of the heart by echocardiography in black hypertensive patients presenting with symptoms of heart failure is often incomplete. Cardiovascular magnetic resonance, mainly by virtue of its ability to characterize myocardial tissue composition, may be of value in differentiating some of the common pathologies noninvasively. We present an illustrative case of hypertrophic cardiomyopathy in a British Afro Caribbean hypertensive patient where at least some features of familial amyloidosis were present on screening echocardiography. Cardiovascular magnetic resonance examination of this case established not only the usefulness of this technique, but also highlighted the importance of recognizing the variations and departure from the usual which one associates with hypertrophic cardiomyopathy, so as to arrive at the final diagnosis.

Abstract

The sensitivity and specificity of structural assessment of the heart by echocardiography in black hypertensive patients presenting with symptoms of heart failure is often incomplete. Cardiovascular magnetic resonance, mainly by virtue of its ability to characterize myocardial tissue composition, may be of value in differentiating some of the common pathologies noninvasively. We present an illustrative case of hypertrophic cardiomyopathy in a British Afro Caribbean hypertensive patient where at least some features of familial amyloidosis were present on screening echocardiography. Cardiovascular magnetic resonance examination of this case established not only the usefulness of this technique, but also highlighted the importance of recognizing the variations and departure from the usual which one associates with hypertrophic cardiomyopathy, so as to arrive at the final diagnosis.
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Keywords

breathlessness; Afro Caribbean; hypertrophic cardiomyopathy; amyloidosis; left ventricular hypertrophy; cardiac magnetic resonance

About this article
Title

Progressive breathlessness in an Afro Caribbean hypertensive subject

Journal

Cardiology Journal

Issue

Vol 19, No 6 (2012)

Pages

646-649

Published online

2012-12-06

DOI

10.5603/CJ.2012.0120

Bibliographic record

Cardiol J 2012;19(6):646-649.

Keywords

breathlessness
Afro Caribbean
hypertrophic cardiomyopathy
amyloidosis
left ventricular hypertrophy
cardiac magnetic resonance

Authors

Girish Dwivedi
Robert J. MacFadyen
Chetan Varma
Vishal Sharma
Desley Neil
Richard P. Steeds

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