Tohoku J. Exp. Med., 2003, 199(1)

Varieties of Right Ventricular Diastolic Function in Patients
with Non-Obstructive Hypertrophic Cardiomyopathy

KOHTAROH KOMAKI, MASAHITO SAKUMA, HIDEHIKO ISHIGAKI, HIDENARI HOZAWA,
YOSHITO YAMAMOTO, TOHRU TAKAHASHI, NORIHISA KUMASAKA, YUTAKA KAGAYA,
JUN IKEDA, JUN WATANABE and KUNIO SHIRATO

Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Sendai 980-8574

We examined whether differences in the location of myocardial hypertrophy influence the right ventricular diastolic function in patients with non-obstructive hypertrophic cardiomyopathy using cineangiography. Biplane right ventriculography was performed in 34 subjects (normal=14, asymmetric septal hypertrophy=9, apical hypertrophy=11) during cardiac catheterization. In patients with asymmetric septal hypertrophy, compared with apical hypertrophy and normal groups, the indices of the right ventricular diastolic function including right ventricular peak filling rate and filling fraction of rapid filling phase were lower and the time to peak filling rate was prolonged. But in patients with apical hypertrophy, these indices were not significantly different compared with normal. There were no differences in right ventricular ejection fraction and cardiac index among the three groups. These data suggest that the location of the myocardial hypertrophy of the left ventricle is a significant factor affecting the right ventricular diastolic filling in non-obstructive hypertrophic cardiomyopathy.

Keywords —— right ventricle; hypertrohic cardiomyopathy; diastolic function

© 2003 Tohoku University Medical Press

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Tohoku J. Exp. Med., 2003, 199, 49-57

Address for reprints: Kunio Shirato, M.D., Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, 1-1 Seiryomachi, Aoba-ku, Sendai 980-8574, Japan.

e-mail: shirato@int1.med.tohoku.ac.jp