Key result
A patient with hypertrophic obstructive cardiomyopathy developed severe left ventricular outflow tract obstruction over 14 years, demonstrating the progressive nature of the disease.
Case Report (n=1)
Answers are grounded in this paper and cite their sources.
This case demonstrates that hypertrophic obstructive cardiomyopathy can be a progressive disease, warranting careful long-term follow-up, potentially using echocardiography with doppler.
A patient with hypertrophic obstructive cardiomyopathy who when first seen had a normal physial examination, chest x-ray, and electrocardiogram, and no provokable gradient with isoproterenol at cardiac catheterization, was re-evaluated after 14 years. At the time of re-evaluation, she was found to have a typical systolic ejection murmur, cardiomegaly, left ventricular hypertrophy, a pseudoinfarction pattern on electrocardiography, and a significant subaortic gradient both by catheterization and by doppler. This case demonstrates that hypertrophic obstructive cardiomyopathy can be a progressive disease and that patients with this condition warrant careful follow-up. Echocardiography with doppler may provide an excellent noninvasive method of following these patients.
No takes yet. Share an insight, caveat, or question.
Wilson et al. (1986) conducted a case report in Hypertrophic obstructive cardiomyopathy (n=1). Clinical follow-up was evaluated on Development of severe left ventricular outflow tract obstruction. A patient with hypertrophic obstructive cardiomyopathy developed severe left ventricular outflow tract obstruction over 14 years, demonstrating the progressive nature of the disease.
Synapse has enriched 10 related papers. Consider them for comparative context: