Abstract
A 50-year-old male was referred for dyspnoea on exertion and systolic murmur. The 12-lead ECG was normal. Transthoracic echocardiography revealed an obstructive hypertrophic cardiomyopathy (OHCM) with a 23 mm thick basal septum, systolic anterior motion of the anterior mitral leaflet, moderate mitral regurgitation, and 70 mmHg dynamic intraventricular gradient in the basal conditions. The patient underwent cardiovascular magnetic resonance (CMR) (1.5 T Siemens Symphony®, Erlangen, Germany) for the assessment of fibrosis and risk stratification. Steady-state free precession cine-CMR (Supplementary material online, Movie 1 ), pre-contrast T1 (not shown) and T2-weighted black blood …
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