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CASE REPORT
Year : 2015  |  Volume : 3  |  Issue : 2  |  Page : 3

Reverse left ventricular apical rotation in dilated cardiomyopathy


1 Echocardiography Research Center, Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran
2 General Cardiologist, Erfan Hospital, Tehran, IR Iran

Correspondence Address:
Azin Alizadehasl
Echocardiography Research Center, Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran
IR Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.5812/acvi.28112

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Introduction: We describe a 56-year-old woman with dilated cardiomyopathy, whose clinical assessment, including two-dimensional echocardiography, demonstrated a spherical left ventricular geometry with severe left ventricular enlargement and dysfunction as well as reverse apical rotation. Left ventricular twist and torsion were evaluated via echocardiography with velocity vector imaging; the patient was found to have reverse rotational movement. We hereby address these issues from an echocardiographic point of view. Case Presentation: The patient was a 56-year-old woman, who referred to our clinic with complaints of dyspnea on exertion of 2 years' duration. By the time of her referral, the patient's dyspnea had exacerbated and reached New York Heart Association (NYHA) functional class III. Conclusions: These findings emphasize the potential clinical benefits of therapeutic procedures such as cardiac resynchronization therapy (CRT) or apex-sparing volume-reduction surgery in DCM. A better definition of the role and implications of reverse apical torsion in DCM and its importance and effectiveness in making therapeutic decisions like CRT implantation requires further studies.


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