echocardiology.org

Topic

Myocardial Disease

Assessing the cardiomyopathies — hypertrophic, dilated, restrictive, and infiltrative — and quantifying systolic and diastolic function.

11 pages in this topic

Tutorial

Introduction to Diseases of the Myocardium

The five cardiomyopathy phenotypes, why phenotype comes before etiology, and how echocardiography drives the diagnostic pathway, per the 2023 ESC guideline.

Tutorial

Hypertrophic Cardiomyopathy

HCM's variants, the phenocopies that mimic it, LVOT obstruction mechanics, and how echo drives septal reduction therapy selection — per the 2021 BSE guideline.

Tutorial

Dilated Cardiomyopathy

DCM's sex-specific diagnostic thresholds, the heart-failure differential it must survive, and the CRT and thrombus questions echo answers along the way.

Tutorial

Restrictive Cardiomyopathy

RCM's distinctive echo signature, why 'restrictive filling' isn't the same as the disease itself, and the principles that separate it from constriction.

Tutorial

Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC)

The 2010 Task Force echo criteria with real sensitivity/specificity data, the 'triangle' and 'quadrangle of dysplasia,' and why ARVC is a biventricular disease.

Tutorial

Non-Dilated Left Ventricular Cardiomyopathy (NDLVC)

The new 2023 phenotype absorbing what used to be scattered across DCM, ALVC, and left-dominant ARVC — and why sudden death risk here doesn't track with EF.

Tutorial

Cardiac Amyloidosis

Why asymmetric hypertrophy doesn't exclude amyloid, the quantified apical sparing sign, and the three-tier likelihood report the 2023 BSE guideline recommends.

Tutorial

Cardiac Hemochromatosis

Why wall thickness often isn't increased, the three patterns echo can show, and why T2* CMR — not echo — catches iron overload early enough to reverse it.

Tutorial

Cardiac Sarcoidosis

Why sarcoidosis has no single echo phenotype, the basal septal thinning sign, and why a normal biopsy or a negative PET scan never fully excludes it.

Tutorial

Endomyocardial Fibrosis

EMF's two forms, the specific diagnostic pattern of Löffler endocarditis, and why this is an endocardial — not myocardial — route to restrictive physiology.

Tutorial

Myocarditis

Why no echo finding is pathognomonic, the transient edema-driven wall thickening that can mimic HCM, and the formal 2025 ESC diagnostic criteria.