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70 year old female with fatigue and Shortness of breath : Case 5

Contrast Echocardiography for assessment of LV structure and function

Patient Description

  • 70 year old female
  • Referral for echocardiogram due to fatigue and Shortness of breath


  • Peculiar apical contraction
  • Contrast administered




Apical Hypertrophic cardiomyopathy

The usefulness of dedicated contrast settings: Another patient with apical hypertrophy

Upper panel from an echo in Jan 2010 using a system without a dedicated contrast preset, the contrast acquisition was done simply by lowering the MI, the contrast image is diagnostic but clearly lacking the quality of the contrast image in the lower panel (Feb 2011) from the same patient using a low-MI contrast presetting. In the latter one can clearly get more information; a small apical aneurysm and decreased endocardial perfusion is apparent.