Image Question-55


What is the most likely diagnosis from Echocardiogram?


https://drive.google.com/file/d/1v_RTwbM4Uy-lt173_vNlwYUz_TCSFNLy/view?usp=sharing

[A] RCM
[B] HOCM
[C] DCM
[D] ASD



Characteristic echocardiographic findings of RCM include:

  1. Biatrial enlargement: The atria are strikingly enlarged
  2. Diastolic dysfunction
  3. Normal or near-normal systolic function: The left ventricular (LV) and right ventricular ejection fraction are normal or mildly reduced
  4. Hypertrophy: The ventricles are hypertrophied with decreased compliance
  5. Mass-like apical lesions: These lesions are associated with restriction of LV and RV filling
  6. Mitral and tricuspid valve leaflet tethering: This may result in regurgitation
  7. Nondilated ventricles
  8. Doppler imaging shows a restrictive filling pattern with tissue Doppler showing an elevated E/e’ ratio.

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