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Diagnosis of decreased segmental deformation of the left ventricular myocardium in a teenager at the early stage of hypertrophic cardiomyopathy (clinical observation)

https://doi.org/10.33667/2078-5631-2024-22-29-33

Abstract

The article presents a clinical observation that revealed a decrease in segmental deformation of the left ventricular myocardium in a 15-year-old teenager at the early stage of asymmetric non-obstructive hypertrophic cardiomyopathy (HCM). To assess myocardial systolic function, the following were used: ejection fraction and shortening of the left ventricle, as well as indicators of global and segmental myocardial deformation, determined by echocardiographic study using the 2D speckle-tracking method. There was no change in ejection fractions and shortening of the left ventricle, global longitudinal deformation of the myocardium, but there was a decrease in longitudinal and circular deformation in individual segments of the left ventricle, which, in general, was the basis for prescribing cardioprotective therapy.

About the Authors

O. S. Groznova
Veltischev Research and Clinical Institute for Pediatrics and Pediatric Surgery of the Pirogov Russian National Research Medical University; Charity Fund for medical and social genetic aid projects «Life Genome»; Department of Innovative Pediatrics and Pediatric Surgery, Institute of Continuing Education and Professional Development of the Pirogov Russian National Research Medical University
Russian Federation

Groznova Olga Sergeevna, Dr. Med. Sc., сhief Researcher of the Department of Pediatric Cardiology and Arrhythmology, director, Professor of the Department of Innovative Pediatrics and Pediatric Surgery

Moscow



A. A. Tarasova
Russian Medical Academy of Continuing Professional Education of the Ministry of Health of the Russian Federation
Russian Federation

Tarasova Alla Alekseevna, Dr. Med. Sc., Professor, Professor of the Department of Radiation Diagnostics of children

Moscow



E. G. Verchenko
Veltischev Research and Clinical Institute for Pediatrics and Pediatric Surgery of the Pirogov Russian National Research Medical University
Russian Federation

Verchenko Elena Gennadievna, Cand. Med. Sc., ultrasound diagnostics doctor of the Department of functional diagnostics of cardiac arrhythmias

Moscow



V. V. Bereznitskaya
Veltischev Research and Clinical Institute for Pediatrics and Pediatric Surgery of the Pirogov Russian National Research Medical University
Russian Federation

Bereznitskaya Vera Vasilievna, Cand. Med. Sc., Head of the Pediatric Cardiology Department of Cardiac Arrhythmias

Moscow



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Review

For citations:


Groznova O.S., Tarasova A.A., Verchenko E.G., Bereznitskaya V.V. Diagnosis of decreased segmental deformation of the left ventricular myocardium in a teenager at the early stage of hypertrophic cardiomyopathy (clinical observation). Medical alphabet. 2024;(22):29-33. (In Russ.) https://doi.org/10.33667/2078-5631-2024-22-29-33

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ISSN 2078-5631 (Print)
ISSN 2949-2807 (Online)