HOCM - CPC Hypertrophic Cardiomyopathy FACTS of INTEREST...

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Unformatted text preview: CPC Hypertrophic Cardiomyopathy FACTS of INTEREST Patient was relatively asymptomatic until follow-up visit at WRAMC. Both his mother and older sibling had hypertrophic cardiomyopathy but were asymptomatic and without evidence of obstruction. His fathers echo was completely wnl FACTS cont. His ECG showed voltage criteria for LVE but there was no evidence of LV strain pattern. His preop echo showed a midcavity gradient of 100 mm HG. The diagnostic portion of his EP study showed : LV 182/19,AAo 90/41,DAo 90/40 OPERATION: Morrow Procedure Myotomy and myectomy of the intraventricular septum. After an initial myectomy ,the gradient was felt to be 35 but as the heart warmed up and perfused better, the gradient was 50. Surgeons went back in, took out more tissue and patient had gradient of 15. POST OP Following the surgery, the patient was found to have a residual gradient of about 30,depending on his level of agitation. He returned to being without symptoms. His preop MR had been significantly reduced, his subAS (HOCM) was significantly reduced, and his AI was slightly worse. About 2.5 yrs later, his gradient was 30. POST OP Following the surgery, the patient was found to have a residual gradient of about 30,depending on his level of agitation....
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HOCM - CPC Hypertrophic Cardiomyopathy FACTS of INTEREST...

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