
Valvular heart disease
Carabello BA. Braunwald’s Heart Disease, 9th ed. Pg 64
Pressure problem
Critical AS with still normal ventricular dimensions and concentric LVH (myocardial mass 143g/m2, RWT 0,43)
Often basal and septal reduction more than you would expect with the existing degree of LVH
Volume problem
Bicuspid AV with prolapse of the RCC and severe eccentric AR & eccentric LVH ➜ volume overload
Hypertrophy
EF is preserved for a long time, GLS decreases (reduced GLS for the same EF) ➜ hypertrophied chamber, small LV
Dilatation
GLS & EF will be reduced faster compared to hypertrophy






