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Figure 1 | Journal of Cardiovascular Magnetic Resonance

Figure 1

From: First-pass stress perfusion MR Imaging findings of apical hypertrophic cardiomyopathy: with relation to LV wall thickness and late Gadolinium-enhancement

Figure 1

A 45-year old male patients with angina pain who visited to emergency room was confirmed as apical HCM by typical ECG and echocardiographic findings, and he performed CMR for risk stratification. a. Two-chamber cine image shows apical wall thickening with typical ‘spade of ace' sign (arrows). b. Short-axis cine image shows LVH at apical anterior, lateral and inferior wall (NHS of 3, NCH-3). c, d. First-pass stress perfusion (c) and rest perfusion (d) show reversible ring of subendocardial perfusion defect (arrows) at whole apical layer.

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