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Heterogeneity of Cardiac Sympathetic Nerve Activity and Systolic Dysfunction in Patients with Hypertrophic Cardiomyopathy

Masami Shimizu, MD1, Hidekazu Ino, MD1, Masato Yamaguchi, MD1, Hidenobu Terai, MD1, Kenshi Hayashi, MD1, Kenichi Nakajima, MD2, Junichi Taki, MD2 and Hiroshi Mabuchi, MD1

1 Molecular Genetics of Cardiovascular Disorders, Division of Cardiovascular Medicine, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan
2 Biotracer Medicine, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan



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FIGURE 1. Left ventricular myocardium is divided into 20 segments, and uptake and washout rates in each section were determined.

 


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FIGURE 2. Polar maps of control subject (early image [A] and delayed image [B]) and patient with HCM (early image [C] and delayed image [D]).

 


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FIGURE 3. Segment shows maximal early uptake (A) and maximal washout rate (B). Black bars = patients with HCM; white bars = control subjects. Segments shown in Figure 1 are identified as follows: Ap = apical; AS = anteroseptal; AN = anterior; AL = anterolateral; IL = inferolateral; IN = inferior; IS = inferoseptal.

 


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FIGURE 4. (A) Relationship between early uptake dispersion and percentage of fractional shortening. (B) Relationship between SD of segmental early uptake and percentage of fractional shortening.

 





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