Fig. 2
a Transthoracic echocardiographic apical 4-chamber view showing severe LV hypertrophy with myocardial granular sparkling, biatrial dilatation and atrial septal thickening. b Longitudinal strain analysis revealing severely impaired longitudinal systolic function without apical sparing. c Lateral and septal mitral annular tissue Doppler showing a severely reduced average S’. d Continuous wave doppler across LV outflow tract showing low gradient AS