Apical 4 Chamber view   Apical 2 Chamber view Apical 3 Chamber view (APLAX) Global longitudinal strain Short axis apex Rotation and torsion

Case: This case shows the findings of an advanced apical HCM phenotype in a 50-60 year old man. The diagnosis was made 6 years ago when he presented with atrial fibrillation. His prior medical history was unremarkable and his family history revealed a sudden cardiac death of this father below the age of 50 years. […]

Case: A 30-40 year old man, a carrier of a pathogenic MYBPC3 mutation which was found during familial cascade screening. The following images show the progression of this disease during follow up (on examinations at 2010 and 2017). He has been free of cardiac complaints. The ECG at presentation was unremarkable, with borderline LVH voltage […]

Case: This case shows typical echocardiographic findings in a patient with a non-obstructive hypertrophic cardiomyopathy (HCM). The images are of a 50-60 year old woman who was diagnosed with this disease after family cascade screening. She was found to be a carrier of a pathogenic MYBPC3 mutation. She was asymptomatic at the time of diagnosis, […]

Case: A man in his thirties who was know with an auto-immune disease (exact diagnosis is still unknown) which was associated in his case with asthmatic disease. At the outpatient clinic of the pulmonary diseases, a routine ECG was performed which showed signs of LVH with deep negative T-waves in V3-V6 and terminal negative T-waves […]

Case: 40-50 year old woman with a non-compaction cardiomyopathy. She was known with this disorder for 10 years after family screening. Her medical history is unremarkable. In the last 5 years her LV systolic function shows a gradual decline. Currently she has a functional performance NYHA class II-IV and an LVEF of approximately 30-35%   […]

Case: The following findings are typical after heart transplantation during follow up. The following patient is 70 years old and currently 10 years after an orthotopic heart transplantation (which he received after a large anteroseptal myocardial infarction in the past leading to chronic heart failure). He has no cardiac complaints an ischemia was ruled out recently […]

Case: This ultrasound is from a 55 year old man who has been treated for hypertension by the general practitioner with an ACE inhibitor for the last 5 year for hypertension. With this medication he has been normotensive during control visits. An ECG was made during follow up showing left ventricular hypertrophy. He was consequently […]

Case: 52-year old man who was diagnosed with a Diffuse large B-cell lymphoma in the neck in 2012. He received 8 times R-CHOP chemotherapy (including the potential cardiotoxic doxorubicin, and cyclophosphamide). Due to progression of disease he was subsequently treated with a DHAP-VIM-DHAP chemotherapy (including the potentially cardiotoxic chemotherapy ifosfamid) and underwent a bone marrow […]

Artefacts   A reliable derivation of deformation information from our B-mode imaging requires adequate (good) image quality. Echocardiographic images are often prone to artefacts and/or inadequate acoustic windows. Bad image quality will give bad and unreliable deformation graphs. A thorough knowledge of specific artefact will prevent misinterpretation of noise as abnormal deformation. A selection of […]