Differenzialdiagnostik der linksventrikulären Hypertrophie - Abgrenzung und Konsequenzen für Prognose und Therapie

Left ventricular hypertrophy can be a sequel of numerous clinical entities. Decisive for the diagnosis is the delineation of primary myocardial hypertrophy from secondary forms of hypertrophy since this has far-reaching consequences for the prognosis of and therapy for the individual diseases. Hypertrophic cardiomyopathy in particular requires an especially careful diagnosis with regard to the prevention of sudden cardiac death, above all because mainly younger patient collectives are concerned. Besides the case history, ausculation, electrocardiograhy and 2D echo cardiography, further procedures such as tissue Doppler echo cardiography, endomyocardial biopsy as well as contrast-enhanced cardiavascular MRI are indispensable elements in the differential diagnosis of left ventricular hypertrophy.