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Can I have hypertrophic cardiomyopathy at 32 years of age?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a male of 32 years old with a weight of 403 pounds and a height of five feet ten inches. I have an LV mass of 176 g/m2 and an RWT of 0.67. I do not have high blood pressure. What is the cause?

Answered by Dr. Ilir Sharka

Hi,

Welcome to icliniq.com.

I have reviewed your echocardiography report and I am willing to explain the cause for the increased LV (left ventricular) mass value. It can be due to true hypertrophic cardiomyopathy or due to phenocopy. A cardiac magnetic resonance examination has to be done. You need to discuss this with your doctor.

Patient's Query

Thank you doctor,

Does cardiomyopathy cause a wall thickness of greater than 1.5 millimeters?

Answered by Dr. Ilir Sharka

Hi,

Welcome back to icliniq.com.

There are several HCM (hypertrophic cardiomyopathy) variants according to the penetrance and expressivity genetics. On the other side, the sensitivity of the imagine test needs to be improved. Echocardiography can miss the detection of certain hypertrophic location. Cardiac MRI (magnetic resonance imaging) seems to be a gold standard test for studying these cardiomyopathies. Several phenocopies may mimic hypertrophic cardiomyopathy.

Answered byDr. Ilir Sharka

Medically reviewed byDr. K. Shobana

Published At January 26, 2021
Reviewed AtJuly 4, 2023

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