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🔴 YAMAGUCHI SYNDROME (Apical HCM) – ECHO CW DOPPLER PEARLS 🔴 🫀 Marked apical LV hypertrophy ♠️ “Ace-of-spades” LV cavity (end-diastole) ⚡ Normal / hyperdynamic EF 🚫 No significant LVOT obstruction ⏳ Diastolic dysfunction common ⚠️ Apical cavity obliteration ± aneurysm 📈 CW Doppler: 🔹 No dynamic LVOT gradient 🔹 Mid-cavity / apical systolic gradient (late-peaking, dagger-shaped) 🔹 Higher apical velocities due to cavity obliteration 📌 Classic ApHCM = apical thickening with mid-to-apical gr
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