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Figure 4 Representative spin-echo magnetic resonance imaging (A) and cardiac proton magnetic resonance spectrum (B) from a patient with obstructive hypertrophic cardiomyopathy (HCM) (case 1, 39-year-old man). Diffuse hypertrophy of the left ventricular wall is observed, although asymmetric septal hypertrophy was shown typically seven years before. Myocardial creatine (3.0 ppm) (arrow) is well preserved in this case (24.7 µmol/g wet weight).
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