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Table 1 Comparison of echocardiography and MRI findings between Anderson-Fabry and hypertrophic cardiomyopathy.

From: Reduced coronary flow reserve in Anderson-Fabry disease measured by transthoracic Doppler echocardiography

Echocardiography

 

Anderson-Fabry

HCM

LVH pattern

Concentric>Asymmetric

Asymmetric>Concentric

Resting LVOT gradient

Rare

25–30%

Massive LVH> 30 mm

Rare

10–15%

LV diastolic dysfunction (tissue Doppler, strain rate)

  

With LVH

Yes

Yes

Without LVH (genotype +)

Yes

Yes

LV systolic dysfunction

More frequent especially in older males

 

Magnetic resonance

Most common site of late-enhancement (if present)

Infero-lateral segment

Ventricular junction, Multi-focal

  1. LVH- left ventricular hypertrophy; LVOT – left ventricular outflow tract