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• W2156857218 abstract "HomeCirculationVol. 101, No. 14Differentiation of Solitary Papillary Muscle Hypertrophy From Apical Hypertrophic Cardiomyopathy Free AccessOtherPDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessOtherPDF/EPUBDifferentiation of Solitary Papillary Muscle Hypertrophy From Apical Hypertrophic Cardiomyopathy Michihiro Suwa and Ayaka Kobashi Michihiro SuwaMichihiro Suwa The Third Division, Department of Internal Medicine, Osaka Medical College, Takatsuki, Osaka, Japan Search for more papers by this author and Ayaka KobashiAyaka Kobashi The Third Division, Department of Internal Medicine, Osaka Medical College, Takatsuki, Osaka, Japan Search for more papers by this author Originally published11 Apr 2000https://doi.org/10.1161/01.CIR.101.14.e159Circulation. 2000;101:e159To the Editor:We read with interest the article by Reddy et al1 regarding a case with apical hypertrophic cardiomyopathy. The authors said that the 2D echocardiograph obtained from this patient indicated hypertrophy of the apex and that 201-Tl scintigraphic imaging demonstrated an increased count in the apical segment. However, because there was a clear groove or space between the hypertrophic segment and the lateral free wall in the 2D echocardiograph, we think that the hypertrophic segment in this patient was not the left ventricular free wall, but rather the anterolateral papillary muscle, and that the scintigraphic finding was also related to the hypertrophic papillary muscle.Recently, we reported that patients with solitary papillary muscle hypertrophy showed left ventricular hypertrophy with not-so-prominent but symmetrical, negative T-waves on the ECG. Some of these patients had relatives with clinical features of hypertrophic cardiomyopathy.2 At the present time, we consider isolated papillary muscle hypertrophy a newly identified subtype of an early form of hypertrophic cardiomyopathy. We thought that the case reported by Reddy et al1 had features typical of and suggestive of solitary papillary muscle hypertrophy; thus, we think it is not a case with apical hypertrophic cardiomyopathy with hypertrophy in the apical segment of the left ventricular free wall and/or ventricular septum. References 1 Reddy V, Korcarz C, Weinert L, Al-Sadir J, Spencer KT, Lang RM. Apical hypertrophic cardiomyopathy. Circulation.1998; 98:2354.CrossrefMedlineGoogle Scholar2 Kobashi A, Suwa M, Ito T, Otake Y, Hirota Y, Kawamura K. Solitary papillary muscle hypertrophy as a possible form of hypertrophic cardiomyopathy. Jpn Circ J.1998; 62:811–816.CrossrefMedlineGoogle Scholar Previous Back to top Next FiguresReferencesRelatedDetailsCited By Diaz Babio G, Vera Janavel G, Carrero C, Masson Juarez G, Mezzadra M, Constantin I, Garcia Botta T and Stutzbach P (2020) Papillary muscles. Dark side of the heart: A simple approach for a forgotten structure, Echocardiography, 10.1111/echo.14785, 37:7, (993-998), Online publication date: 1-Jul-2020. Correia A, Pinho T, Madureira A, Araujo V and Maciel M (2013) Isolated papillary muscle hypertrophy: a variant of hypertrophic cardiomyopathy, but further evidences are still needed: reply, European Heart Journal - Cardiovascular Imaging, 10.1093/ehjci/jet102, 14:8, (827-828), Online publication date: 1-Aug-2013. Ker J (2016) Solitary Papillary Muscle Hypertrophy: A New Echo-Electrocardiographic Syndrome? A Case Report, Angiology, 10.1177/0003319706291159, 58:4, (502-503), Online publication date: 1-Aug-2007. Comella A and Magnacca M (2004) Pseudo-Left Ventricle Apical Hypertrophy: Bedside Diagnosis with SonoVue Contrast, Echocardiography, 10.1111/j.0742-2822.2004.03134.x, 21:6, (563-564), Online publication date: 1-Aug-2004. April 11, 2000Vol 101, Issue 14 Advertisement Article InformationMetrics Copyright © 2000 by American Heart Associationhttps://doi.org/10.1161/01.CIR.101.14.e159 Originally publishedApril 11, 2000 PDF download Advertisement" @default.
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