Why the study?
To perform alcohol septal ablation in a patient with hypertrophic obstructive cardiomyopathy and a high LVOT gradient.
Does alcohol septal ablation reduce LVOT gradient and improve symptoms in a patient with hypertrophic obstructive cardiomyopathy?
Does alcohol septal ablation reduce LVOT gradient and improve symptoms in a patient with hypertrophic obstructive cardiomyopathy?
Alcohol septal ablation is an effective and minimally invasive treatment for reducing LVOT gradient and improving symptoms in patients with hypertrophic obstructive cardiomyopathy.
Answers are grounded in this paper and cite their sources.
May support dual-modality guidance feasibility; leaves open comparative safety and efficacy data in hypertrophic cardiomyopathy.
Background: Hypertrophic obstructive cardiomyopathy is a type of cardiomyopathy. The presence of a pressure gradient between the mid ventricle and LVOT on the hemodynamic evaluation revealed by echocardiography serves as the basis for the diagnosis. Objective: To Perform Alcohol Septal Ablation in patient with Hypertrophic Cardiomyopathy Method: Under both Echocardiography and Fluoroscopy first septal branch of LAD is identified and alcohol is injected to cause necrosis of the selected myocardial tissue to reduce the outflow gradient. Result: A reduction of the outflow gradient measured after the procedure indicates that it wassuccessful. J Inv Clin Cardiol 2023; 5(2): 56-59
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Islam et al. (2024) studied this question.
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