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Saturday 17 June 2023

CASE 688: ASYMMETRICAL HYPERTROPHY of the HEART, Dr PHAN THANH HẢI, Dr NGUYỄN DINH, Dr ĐÀO XUÂN DUNG,MEDIC MEDICAL CENTER, HCMC VIETNAM.



A 59 year-old arterial hypertension male patient with a chest pain in taking alcohol from October 2019. He came Heart Institut HCMC with a note of infarctus of myocardium from Cantho province.  




But MSCT in Hoan my hospital Cantho province proves a slight stenosis 30% of coronary arteries. 

In COVID 19 pandemic, he goes around the private clinics with his HTA status and his heart but nothing change.

In May to July 2022 he goes to Medic Can tho and then Medic Hoa Hao Center in HCMC.

An coronary CTA of this second time shows slight stenosis under 30% and slight pericardial effusion but notes a hypertrophic cardiomyopathy of his heart.



At last Cardiac MRI confirms an asymmetrical hypertrophy of the heart.


 



He gets well with the management of  hypertrophic cardiomyopathy.


REFERENCE


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