Review Article

A Contemporary Systematic Approach to Assessing the Patient with Heart Failure with Reduced Ejection Fraction: Multimodal Noninvasive and Invasive Evaluation

Figure 4

Characterization of left ventricular hypertrophy. The patient’s ECG (Figure 2) suggests left ventricular hypertrophy. Transthoracic echocardiographic measurement of relative wall thickness coupled with left ventricular mass index can determine the specific type of hypertrophy. In the current case, the patient’s eccentric hypertrophy is consistent with volume overload secondary to a dilated cardiomyopathy (image from Lang RM. JASE. 2005; 18: 1440–1463).