michael kors trent logo slip-on sneaker | Trent Logo Slip michael kors trent logo slip-on sneaker Hypertrophic cardiomyopathy (HCM) is a genetically determined disease that commonly results in obstruction of the left ventricular outflow tract (LVOT), which can produce chest discomfort, dyspnea, fatigue, and syncope. This topic discusses the management of patients with HCM and symptoms attributable to LVOT obstruction.
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SAM is most prominent in late systole as the LV empties and cavity size is decreased (SAM therefore is a dynamic obstruction i.e., gets worse throughout systole, as opposed to aortic stenosis which is a fixed obstruction)
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