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Tag Archives: coronary fistulae

July 2017 Br J Cardiol 2017;24:118–9 doi:http://doi.org/10.5837/bjc.2017.016 Online First

Hypertrophic cardiomyopathy and coronary fistulae

Deidre F Waterhouse, Theodore M Murphy, Charles McCreery, Rory O’Hanlon

Abstract

Figure 1. Electrocardiogram demonstrating deep T-wave inversion in leads 1, aVL, and V2 through to V6 The CMR demonstrated marked asymmetrical hypertrophy of the anterior and anteroseptal walls at basal and mid-ventricular level. The peak basal wall thickness was 25 mm. The reference wall thickness was 7–9 mm. There was also apical circumferential hypertrophy with a peak apical wall thickness of 11 mm and systolic obliteration from distal left ventricle (LV) through to the apex. Perfusion was performed with regadenosine stress. There was severe microvascular ischaemia in a near circumferential pattern basally, and marked ischaemia in the ma

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