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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...

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Alex Felix

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17,789 views • 2 years ago •via X (Twitter)

Health & WellnessEducationScience & Technology#echofirst#cardiotwitter
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Ahmad Masri's profile picture
Ahmad Masri2 years ago

@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's profile picture
Ekaterina Stellbrink2 years ago

@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's profile picture
Alex Felix2 years ago

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's profile picture
Ian Mcleod2 years ago

@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's profile picture
andreia panza2 years ago

@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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