Long axis view showing a hypertrophic left ventricle
Notice:
– Myocardial wall thickness is increased
– LV dimensions are often decreased
– Left atrium is often enlarged
– LV function is variable
Image C shows severe reduced LV dysfunction
Apical 4 chamber view showing a hypertrophic left ventricle
Notice:
– Myocardial wall thickness is increased
– LV dimensions are often decreased
– Left atrium is often enlarged
– LV function is variable
Image C shows severe reduced LV dysfunction
The arrows in image D point to concomitant pericardial effusion
Consider hypertrophic LV diastolic dysfunction when the following is present:
– Aortic valve stenosis
– Arterial hypertension
– LV-outflow tract obstruction
– Hypertrophic cardiomyopathy
– Myocardial deposit disease
Subcostal 4 chamber view showing hypertrophic LV with preserved LV function
Notice:
– Myocardial wall thickness is increased
– LV dimensions are often decreased
Images and video clips of the parasternal short axis view
Notice:
– Reduced myocardial thickening
– Reduced endocardial movement
– Myocardial wall may appear thin
Images and video clips of the parasternal long axis view
Notice:
– LV is enlarged
– LA is enlarged
– Anterior mitral leaflet opening is compromised; MSS increased
– Myocardial wall may appear thin
– Reduced contractility
Hypertrophic left ventricle
2D echocardiographic characteristics:
– Myocardial wall thickness is increased
– LV dimensions are decreased
– LA is often enlarged
– MAPSE is often slightly reduced
Images and video clips from the apical 4 chamber view
Notice:
– LV is enlarged
– LA is enlarged
– Anterior mitral leaflet opening is compromised; MSS increased
– Myocardial wall may appear thin
– Reduced contractility
– MAPSE is reduced
Images and video clips from the subcostal 4 chamber view
Notice:
– LV is enlarged
– LA is enlarged
– Anterior mitral leaflet opening is compromised; MSS increased
– Myocardial wall may appear thin
– Reduced contractility
The FATE card page 3 provides the normal cardiac and pleural target images, as well as images of the most important cardiac pathologies and their presentation in the different FATE views
You can get the FATE card in the AppStore or Google Play
