Anatomy of a Failing Heart
DAVID EPSTEIN
December 10, 2007
NORMAL HEART
Left Ventricle Wall
Right Ventricle
Septum
Left Ventricle Cavity
NORMAL HEART
Left Ventricle Wall
Right Ventricle
Septum
Left Ventricle Cavity
HCM HEART
Left Ventricle Wall
Right Ventricle
Septum
Left Ventricle Cavity
In the HCM heart the septum, the muscle wall that
separates the ventricles, grows abnormally thick and invades the left
ventricular cavity, where oxygen-filled blood collects before being pumped
through the body. Normally thinner than 1.2 centimeters, a septum thicker than
1.5 cm is nearly always indicative of HCM. When the septum is between 1.3 and
1.5 cm, however, doctors find it difficult to determine whether the heart has
been enlarged from exercise or from HCM.