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Dynamic respiratory changes in hypertrophic cardiomyopathy
  1. E S Brilakis,
  2. R A Nishimura

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A 50 year old woman presented with severe exertional dyspnoea. On physical examination, she had a 3/6 systolic ejection murmur that virtually disappeared with inspiration. Transthoracic echocardiography demonstrated findings typical of hypertrophic cardiomyopathy with a pronounced increase in ventricular septal thickness and an outflow gradient of 100 mm Hg. The patient underwent cardiac catheterisation (panel below: Ao, aortic pressure, LA, left atrial pressure, LV, left ventricular pressure, …

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