Fast Five Quiz: Hypertrophic Cardiomyopathy Workup

Jamshid Shirani, MD


April 13, 2022

Cardiac imaging is essential in the diagnosis of HCM. Echocardiography is the preferred imaging modality for initial evaluation of left ventricular hypertrophy.

Echocardiography is performed to establish the following:

  • Determine the degree and pattern of hypertrophy

  • Presence of left ventricular apical aneurysms

  • Systolic and diastolic function of the left ventricle

  • Mitral valve dysfunction

  • Severity of left ventricular outflow tract (LVOT) obstruction

  • Monitoring disease progression in patients diagnosed with HCM

Cardiac MRI is an option for selected patients in whom the echocardiogram was inconclusive and HCM is clinically suspected. Cardiac MRI can also provide complementary information. Cardiac CT may be considered for the diagnosis if cardiac MRI is unavailable or as a noninvasive tool for evaluation of the coronary arteries.

Learn more about hypertrophic cardiomyopathy.


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