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🌟Obstructive HCM ✨Medio-ventricular dynamic obstruction After 3rd slide - Valsalva maneuver: From 10mmHg to >70mmHg medio-ventricular with no gradient in LVOT ✅ - 😳Look at Ao valve M-mode during maneuver 🔆 #echofirst #cardiotwitter Nicolas Merke Vladyslav Kavalerchyk 🇺🇦 Ekaterina Stellbrink Batman-Echo EchoTalk Echocardiography Ahmad Masri francesca graziani_FG Benoy Shah...

17,789 次观看 • 2 年前 •via X (Twitter)

5 条评论

Ahmad Masri 的头像
Ahmad Masri2 年前

@NMerke @echo_stepbystep Great images Just different nomenclature- in our practice we only call LVOTO as obstructive HCM. Implications on management. Clinical trials following this approach as well.

Ekaterina Stellbrink 的头像
Ekaterina Stellbrink2 年前

@NMerke @echo_stepbystep Very beautiful imaging Alex ! With several exciting features! Double peaks in systole with first LVOT flow acceleration and then midventr peak, late systolic ⬇️ of pressure with AoV notching seen in MMode. How symptomatic? And how would you treat?

Alex Felix 的头像
Alex Felix2 年前

NYHA II + syncopes Last week exam. There is discussion ongoing about treatment with myosin inhibitors for this pt. No LVOT gradient, no SAM, no MR. Our ASA patients are mostly basal septal obstructions, great to know about your experience with medio-septal obstruction. How about RF ablation? Thank you for your comments 🙏🏼😃

Ian Mcleod 的头像
Ian Mcleod2 年前

@NMerke @echo_stepbystep Great case and really helpful tip! Someone told me a while back how helpful they find scanning and patient in a standing position.

andreia panza 的头像
andreia panza1 年前

@echocardiac @NMerke @echo_stepbystep Super interessante. Boas dicas. Prestar mais atenção. Excelente caso e imagens. Me marca qdo tiver esses casos, Alex. Ou manda pra mim, por favor. Aprendendo sempre !!

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