Scared
My cardiologist is sending me to an HCM Specialist…the appointment is 33 days away. I’m freaking out. Just got my MRI back….
Overall, findings are consistent with significant left ventricular hypertrophy, with asymmetric severe septal hypertrophy, maximal wall thickness of 2.7 cm. Based on T1 mapping and GE images there appears to be diffuse fibrosis, LV LGE quantification is challenging due to lack of normal reference segment. There is mid and apical cavity obliteration, chordal SAM with flow acceleration in the LVOT.
Overall, this degree of hypertrophy, fibrosis is more concerning for hypertrophic obstructive cardiomyopathy rather than hypertensive heart disease.
Recommend referral to HCM clinic for further evaluation. Diffuse mid myocardial late gadolinium enhancement, RV insertion site late gadolinium enhancement. LV LGE quantification is challenging due to lack of adequate normal) segment.
T1 mapping values are elevated, consistent with interstitial fibrosis.
LVEF: 60 %
Findings:
LVEF: 60% RVEF: 72 %
Normal left ventricular volume index, systolic function, and wall motion. LVIDd: 4.7 cm. Asymmetric severe basal septal hypertrophy, maximal wall thickness of 2.7 cm in the basal septum. Adjacent basal lateral segment measures 1.4 cm. There is mid to apical LV cavity obliteration, chordal SAM with flow acceleration in the LVOT. Global peak wall thickness 27mm.