CASE OF THE WEEK

COVID-19 CASE

NUMBER 20-08: Asymmetrical Septal Hypertrophy in Cases with Strong Family History of HCM NUMBER COVID 20-05:CMR Findings in a Young Patient with Frequent PVCs in Setting of Prior COVID-19 Infection

We report a case of suspected hypertrophic cardiomyopathy (HCM) with a rare diagnosis that was uncovered using cardiac MRI.  A 75-year-old man, with a family history positive for hypertrophic cardiomyopathy (HCM).  His transthoracic echo revealed asymmetrical myocardial thickening without outflow obstruction or papillary muscles hypertrophy, mild to moderate mitral regurgitation, and normal sized right and left ventricles. Cardiac MRI was requested for further assessment of HCM, hemodynamics and tissue characterisation. A 29-year-old woman was admitted for palpitations and fatigue. One month prior to admission she had an upper respiratory infection characterized by cough, fever, and muscular pain. At that time she did not seek medical attention and only took pain relievers. One week after the initial onset of symptoms she developed mild diffuse chest pain and palpitations that persisted for two weeks.
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