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Surgery for hypertrophic obstructive cardiomyopathy HOCM: what to do with concomitant mitral insufficiency?
In spite of the fact that we meanwhile know that extended myectomy in patients with HOCM relieves not only the pressure gradient but also SAM-mediated mitral regurgitation many question about the fate of these patients over time are still not answered.
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Hypertrophic Obstructive Cardiomyopathy HCM LITFL ECG Library. Navigate to the Homepage. Address. Call our telephone number. Search this site.
This pattern is classically associated with systolic anterior motion SAM of the mitral valve and dynamic left ventricular outflow tract LVOT obstruction. However, in the majority of cases 75%, HCM is not associated with LVOT obstruction hence the name change from HOCM to HCM.
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Hypertrophic cardiomyopathy Wikipedia.
The obstructive variant of HCM, hypertrophic obstructive cardiomyopathy HOCM has also historically been known as idiopathic hypertrophic subaortic stenosis IHSS and asymmetric septal hypertrophy ASH. Another, non-obstructive variant of HCM is apical hypertrophic cardiomyopathy, 24 also called Yamaguchi Syndrome or Yamaguchi Hypertrophy, first described in individuals of Japanese descent.
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Hypertrophic Cardiomyopathy: Practice Essentials, Background, Pathophysiology. Group 2. 34A8E98B-62ED-4216-98D6-E986304F4C2E.
One series of 46 patients with midventricular obstruction was found to have an increased risk of apical aneurysm formation, symptoms, and HCM-related death compared with those who did not have midventricular obstruction; the increased risk of symptoms and death was similar to that seen in patients with LV outflow obstruction.
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Hypertrophic cardiomyopathy HCM British Heart Foundation.
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Hypertrophic Cardiomyopathy Cleveland Clinic: Health Library.
The ventricles must pump harder to overcome the narrowing or blockage. This type of hypertrophic cardiomyopathy may be called hypertrophic obstructive cardiomyopathy HOCM. HCM also may cause thickening in other parts of the heart muscle, such as the bottom of the heart called the apex, right ventricle, or throughout the entire left ventricle.

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