Que não é o que não pode ser.

Asymmetric septal hypertrophy in patients with coronary artery disease

Eur J Echocardiogr (2010) 11 (8):698-702.

A total of 5128 consecutive patients with proven diagnosis of CAD were examined. There were 2469 patients with left ventricular (LV) hypertrophy (LVH) (48.2%), among whom 297 (5.8%) had ASH (echocardiographic ventricular septum thickness to LV posterior wall thickness ratio ≥1.3).

Conclusion In patients with CAD, ASH is associated with significant atherosclerosis of RCA and LCA, and more severe clinical manifestations of CAD and impaired LV function.

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Lendo esse artigo, a idade média de 55 anos pareceu fora do esperado para a patologia assimétrica do septo.

Aí, olhando a foto acima, não parece um tendão anômalo ?!?

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