The clinical and haemodynamic significance of the subaortic pressure gradient in patients with muscular (hypertrophic) subaortic stenosis (hypertrophic obstructive cardiomyopathy) has long been debated. In this report we summarize the evidence which indicates that true obstruction to left ventricular outflow exists in these patients. Rapid left ventricular ejection, through an outflow tract nar...

Antonis Pantazis, Consultant Cardiologist at the Royal Brompton and Harefield Hospitals North Middlesex University Hospital in London, UK, Chairperson of European Society Cardiology (ESC) Working Group on Myocardial Pericardial Diseases, provided an expert insight into various aspects obstructive hypertonic cardiomyopathy (HCM) during EMJ- conducted podcast. Pantazis opened podcast by providing...

In the recent past, the mitral valve was referred to as the cornerstone of any echocardiographic examination. Changes in its echocardiographic pattern were considered, in many cases, to be specific for the diseases in which they were described. Among such diseases was hypertrophic cardiomyopathy. Three abnormalities were successively described in the M-mode echocardiograms of patients with the ...

This report describes a patient with hypertrophic obstructive cardiomyopathy complicated by acute aortic and probably mitral valvular incompetence caused by endocarditis due to Staphylococcus aureus. Following the onset of valvular insufficiency, this patient developed hypotension and pulmonary edema and eventually underwent cardiac surgery in an attempt to control these complications. We revie...

Hypertrophic obstructive cardiomyopathy (HOCM) is a primary, usually familial and genetically fi xed myocardial hypertrophy, with dynamic left ventricular outfl ow tract obstruction. An alternative to surgical myectomy in the treatment of severe, drug refractory, HOCM is percutaneous transluminal septal myocardial ablation (PTSMA). We report a case of  year old female patient who had the fi r...