Department of Cardiology, King Fahad Armed Forces Hospital, Jeddah, Saudi Arabia.
Department of Cardiology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Echocardiography. 2021 Oct;38(10):1795-1808. doi: 10.1111/echo.15200. Epub 2021 Sep 23.
Hypertrophic cardiomyopathy (HCM) is the most frequent cardiac disease with genetic substrate, affecting about .2%-.5% of the population. The proper diagnosis is important for optimal management and follow-up. Echocardiography plays an essential role in the assessment of patients with HCM including diagnosis, screening, management formulation, prognosis, and follow up. It also helps to differentiate HCM from other diseases. The advancement of software and probe technology added many echo modalities and techniques that helped in refining the diagnostic and assessing the prognosis of patients with HCM. In this review, we briefly summarize how to integrate the different echocardiographic modalities to obtain comprehensive assessment supported by an updated knowledge of the latest guidelines and recently published articles. Many practical tips and tricks are included in this review to improve the diagnostic accuracy of echocardiography and minimize errors during interpretation.
肥厚型心肌病(HCM)是最常见的具有遗传基础的心脏病,影响约.2%-.5%的人群。正确的诊断对于最佳管理和随访非常重要。超声心动图在 HCM 患者的评估中起着至关重要的作用,包括诊断、筛查、管理方案制定、预后和随访。它还有助于区分 HCM 与其他疾病。软件和探头技术的进步增加了许多超声心动图模式和技术,有助于细化 HCM 的诊断和评估患者的预后。在这篇综述中,我们简要总结了如何整合不同的超声心动图模式,以获得最新指南和最近发表的文章支持的综合评估。本综述包含了许多实用的技巧和窍门,以提高超声心动图的诊断准确性,并最大限度地减少解释过程中的错误。