Multimodality imaging in apical hypertrophic cardiomyopathy

Figure 1 On transthoracic echocardiography, apical hypertrophic cardiomyopathy is defined as an absolute apical thickness of more than 15 mm with a ratio of apical to basal left ventricular wall thickness of more than 1. 3. A: 12-lead electrocardiogram with increased in QRS voltage and deep T-wave inversion in the precordial leads; B: Transthoracic echocardiography 4-chambers view showing asymmetrical left ventricular apical thickening with a spade shaped left ventricle configuration.