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. 2019 Jun 23;55(6):299. doi: 10.3390/medicina55060299

Figure 2.

Figure 2

The role of transthoracic, two-dimensional echocardiography in the assessment of hypertrophic cardiomyopathy (HCM). (A) A parasternal long axis view showing basal septal hypertrophy (maximum LV wall thickness 21 mm—yellow line). (B) Apical four-chamber view shows hypertrophy of the interventricular septum. (C) Continuous wave Doppler from modified apical five-chamber view showing a rest dynamic gradient of 75 mmHg in the LVOT (D) A bull’s eye plot of two-dimensional speckle tracking showing reduced peak longitudinal strain values in the septum—the areas most affected by hypertrophy with preservation of the basal-to-apical gradient. HCM—hypertrophic cardiomyopathy, LV—left ventricle, and LVOT—left ventricular outflow obstruction.