Left ventricle findings:
Wall thickness
- Involved segments and maximal thickness (consider contrast echo); septal: posterior wall ratio
- Consider asymmetric septal hypertrophy and septal morphology (reverse curvature, neutral and sigmoid), concentric, midventricular and apical variants
- Consider RV hypertrophy
Left ventricle cavity size
Left atrium findings
Systolic function
- EF, fractional shortening, and indexed stroke volume also consider s’ (DMI) and longitudinal strain (2D-STE)
Diastolic function
- E/e’ lateral, Ar-A, LAVI, sPAP
Left ventricular outflow tract obstruction
- Mechanism, provocable vs. fixed obstruction
- Level of obstruction (consider midventricular obstruction)
- Presence and severity at rest and under provocative manoeuvres—Valsalva, standing (obstructive, provocable obstructive or non-obstructive HCM)
Mitral valve findings:
- Mitral SAM and its characterization (septal contact and duration)
- Leaflets, chordae and PM abnormalities
- Exclude concurrent organic disease
- Presence, mechanism and severity of MR
Aortic valve findings:
- Leaflet sclerosis
- Mid-systolic partial valve closure