Case of biventricular hypertrophy and biventricular failure. Hypertrophy often indicates some degree of diastolic dysfunction with altered filling properties and compliance of the ventricles. As such, these patients are susceptible to increased heart rate, during which the filling time is impaired.

Another case of LV hypertrophy. In this patient, there is systolic anterior motion of the mitral valve - an indicator of LV hypertrophy. There is intra-cavitary acceleration of flow by colour. There is mitral regurgitation. The intra-cavitary gradient is up to 84 mmHg by CW-Doppler.

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