Vasodilator and diuretic therapy can provoke severe outflow tract obstruction and myocardial ischemia in patients with hypertrophic cardiomyopathy.
May warrant caution with vasodilators/diuretics in hypertensive patients with HCM; leaves open prospective validation of this association.
ENWEndNote BIBJabRef, Mendeley RISPapers, Reference Manager, RefWorks, Zotero AMA Gębka A, Rajtar-Salwa R, Hładij R, Dimitrow P. Anginal pain and elevated troponin level despite normal coronary angiography: hypertrophic cardiomyopathy with severe obstruction due to vasodilator/diuretic therapy for coincident arterial hypertension. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2018;14(1):109-111. doi:10.5114/aic.2018.74367. APA Gębka, A., Rajtar-Salwa, R., Hładij, R., & Dimitrow, P. (2018). Anginal pain and elevated troponin level despite normal coronary angiography: hypertrophic cardiomyopathy with severe obstruction due to vasodilator/diuretic therapy for coincident arterial hypertension. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 14(1), 109-111. https://doi.org/10.5114/aic.2018.74367 Chicago Gębka, Adam, Renata Rajtar-Salwa, Rafał Hładij, and Paweł Petkow Dimitrow. 2018. "Anginal pain and elevated troponin level despite normal coronary angiography: hypertrophic cardiomyopathy with severe obstruction due to vasodilator/diuretic therapy for coincident arterial hypertension". Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej 14 (1): 109-111. doi:10.5114/aic.2018.74367. Harvard Gębka, A., Rajtar-Salwa, R., Hładij, R., and Dimitrow, P. (2018). Anginal pain and elevated troponin level despite normal coronary angiography: hypertrophic cardiomyopathy with severe obstruction due to vasodilator/diuretic therapy for coincident arterial hypertension. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, 14(1), pp.109-111. https://doi.org/10.5114/aic.2018.74367 MLA Gębka, Adam et al. "Anginal pain and elevated troponin level despite normal coronary angiography: hypertrophic cardiomyopathy with severe obstruction due to vasodilator/diuretic therapy for coincident arterial hypertension." Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej, vol. 14, no. 1, 2018, pp. 109-111. doi:10.5114/aic.2018.74367. Vancouver Gębka A, Rajtar-Salwa R, Hładij R, Dimitrow P. Anginal pain and elevated troponin level despite normal coronary angiography: hypertrophic cardiomyopathy with severe obstruction due to vasodilator/diuretic therapy for coincident arterial hypertension. Advances in Interventional Cardiology/Postępy w Kardiologii Interwencyjnej. 2018;14(1):109-111. doi:10.5114/aic.2018.74367.
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