Thank you for the kind comments. I will consider doing something on pulmonary hypertension, but not soon since I don't consider myself expert enough. Paul
So easy to read and a bottom up approach to LVH. Wonderful writing on a somewhat difficult differential diagnosis. May I suggest you extend your talents to Pulmonary Hypertension and also write a comprehensive commonsense review? Thanks again..
Thank you, Steve. I really should have included the athletic heart, but did not because I thought folks would know of that. But perhaps not because several of you have mentioned that to me. So, I will try to write an addendum in the future. The things to remember about the athletic heart wall thickening are: It's more common in those of African descent, it almost never is thicker than 16 mm, it should be concentric with equal septal and posterior wall thicknesses.
Wow! I found this fascinating. I was diagnosed with HCM (back then it was IHSS) when I was 7 years old and wound up having a heart transplant at 38. Now, I'm in my fifties and have experienced bilateral carpal tunnel, bilateral trigger thumb, bilateral plantar fasciitis, and IT band issues in my left leg. This article makes me wonder if there may be some amyloidosis involved in my health issues that went undiagnosed. This despite mentioning to several doctors that I seem to have issues with my tendons.
Thank you for the kind comments. I will consider doing something on pulmonary hypertension, but not soon since I don't consider myself expert enough. Paul
So easy to read and a bottom up approach to LVH. Wonderful writing on a somewhat difficult differential diagnosis. May I suggest you extend your talents to Pulmonary Hypertension and also write a comprehensive commonsense review? Thanks again..
I would also add athlete’s heart depending on patient’s history. But good summary. And a good reminder in general.
Thank you, Steve. I really should have included the athletic heart, but did not because I thought folks would know of that. But perhaps not because several of you have mentioned that to me. So, I will try to write an addendum in the future. The things to remember about the athletic heart wall thickening are: It's more common in those of African descent, it almost never is thicker than 16 mm, it should be concentric with equal septal and posterior wall thicknesses.
Wow! I found this fascinating. I was diagnosed with HCM (back then it was IHSS) when I was 7 years old and wound up having a heart transplant at 38. Now, I'm in my fifties and have experienced bilateral carpal tunnel, bilateral trigger thumb, bilateral plantar fasciitis, and IT band issues in my left leg. This article makes me wonder if there may be some amyloidosis involved in my health issues that went undiagnosed. This despite mentioning to several doctors that I seem to have issues with my tendons.
Excellent review Dr. Thompson.
Excellent discussion of differential Dx of HCM.
Thank you. David S Grouse MD
Thank you, Dr. Grouse. Sorry to be so slow in responding, but I am still learning how all of this social media stuff works. Paul