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- W2088505936 abstract "A 40-year-old woman presents for management of obstructive, hypertrophic cardiomyopathy. The patient has known of a heart murmur since childhood. There is no history of cardiovascular disease in her family. Six months prior to this presentation, an echocardiogram was interpreted elsewhere as showing concentric left ventricular hypertrophy. Doppler echocardiography disclosed evidence of mild mitral regurgitation, but no mention was made of subaortic obstruction. Cardiac catheterization, performed five months prior to this presentation, demonstrated generalized left ventricular hypertrophy, with additional septal hypertrophy. Midcavitary obliteration was seen with each systole, which was vigorous. Mild mitral regurgitation was recorded. A resting peak systolic gradient of 15 mm Hg was recorded across the left ventricular outflow tract, increasing to 35 mm Hg with the Valsalva maneuver; these gradients were recorded when the patient was in atrial fibrillation. After conversion to sinus rhythm, no gradient was recorded across the left ventricular outflow tract at rest or with the Valsalva maneuver." @default.
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- W2088505936 date "1992-02-01" @default.
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- W2088505936 title "Problem of Management of Obstructive Cardiomyopathy" @default.
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- W2088505936 doi "https://doi.org/10.1378/chest.101.2.558" @default.
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