Lvot gradient hocm
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Hospital Name Hosp: East/West Name: PreopDx: Room#: Ht: ___in/cm Wt:___lbs/kg PostopDx: Tape#: Surgeon: Indication: Exam Type: Focused Complete MD: EchoType: TEE EPI TTE Quality: Excellent Good Poor Left Ventricle Mitral Valve Leaflets Doppler Aortic Valve Doppler
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5. 64 year old man, story about AS, peak gradient 90 mmHg, pulmonary oedema refractory to diuretics. Therapy: a. Valve replacement. b. Balloon valvuloplasty. c. Increase diuretics. d. Hydralazine. 6. 69 year old male, 2 days post CABG, loss of vision in 1 eye, fundoscopy - pale optic disk with peri-retinal haemorrhage. What is the cause:
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SUPPLEMENTAL ONLINE-ONLY MATERIAL. Table E1. Baseline Patient Characteristics . Characteristic: n
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Table 2 Supplemental. List of included studies. Author. Year
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Pulses bisferiens d/t mitral valve moving towards LVOT mid-systole ("bifid carotid pulse") = 1. small 2. big carotid pulse Increase preload (squat, standing --> supine): more blood in LV Louder murmur
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Patients with HOCM. A multiple pullback can be recorded from the LV cavity through the LV outflow tract and into the aorta. The gradient of the obstruction can be calculated by a difference in systolic pressure through the LVOT. In some cases patients may be asked to exercise by lifting saline bags as this can often increase the pressure gradient.
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HOCM: LVOT obstruction and hence murmur increases when chamber size reduces. This occurs in . reduced preload ... patients with truly severe AS will show an increase in trans-aortic pressure gradient while the valve area remains the same, while those with falsely low calculated valve area manifest an increase in calculated valve surface area ...
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All morphological types of HOCM were included regardless of the underlying etiology and presence of biventricular outflow tract obstruction or other coexisting cardiac lesions. Meanwhile, aortic valvular stenosis and subvalvular stenosis, and complex left ventricular (LV) outflow tract (LVOT…
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HOCM: Syncope associated with exertion, and physical examination reveals a murmur whose description (midsystolic harsh ejection murmur at the lower left sternal border without any clicks or gallop) is typical for hypertrophic obstructive cardiomyopathy (HOCM). Echocardiography is diagnostic for HOCM.
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A cardiac mortality rate of 1.4±2.1% was described in patients with ASA compared to 0.0% in MM(p=0.2). Conclusions: ASA and MM provide comparative reduction in NYHA class and a sustained LVOT gradient reduction on a medium term follow-up.A higher percentage of patients require permanent pacemaker placement after ASA. 1258, either, cat: 34
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