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The Use of Contrast-Enhanced Transthoracic Echocardiography for Spiral Variant Hypertrophic Cardiomyopathy
  • +1
  • Andrew Begg,
  • Garima Dahiya,
  • Andreas Kyvernitakis,
  • Robert Biederman
Andrew Begg
Allegheny Health Network
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Garima Dahiya
Allegheny Health Network
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Andreas Kyvernitakis
Allegheny Health Network
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Robert Biederman
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Peer review status:IN REVISION

30 Jun 2020Submitted to Echocardiography
02 Jul 2020Assigned to Editor
02 Jul 2020Submission Checks Completed
02 Jul 2020Reviewer(s) Assigned
01 Aug 2020Review(s) Completed, Editorial Evaluation Pending
01 Aug 2020Editorial Decision: Revise Minor


Hypertrophic cardiomyopathy is a common heritable cardiomyopathy with various clinical phenotypes. A rare spiral variant has been recently reported that has been associated with adverse outcomes and has traditionally been diagnosed using cardiac magnetic resonance. We report a case of the rare variant spiral hypertrophic cardiomyopathy where we used transthoracic echocardiography with an ultrasound enhancing agent to demonstrate the geometry of spiral hypertrophic cardiomyopathy and compared to simultaneous cardiac MRI images. The use of echocardiography with ultrasound enhancing agents may prove to be a valuable tool in identifying the geometry of hypertrophic cardiomyopathy variants in selected patients.