Hypertrophic Obstructive Cardiomyopathy with SAM

This patient presented after a syncopal episode. The ECG is abnormal with LVH and significant lateral T-wave inversions. In addition to the septal hypertrophy obstructing the left ventricular outflow tract, there is also systolic anterior motion of the mitral valve which increases obstruction and the raises the risk of tachydysrhythmia and sudden cardiac death. A patient with these findings and syncope warrant admission with cardiology consultation. Assuring adequate preload is also important.

[kamariataylor]

Thank you. Can you please keep making videos like this? I like when you started also showing the m mode and you made it short and right to the point. Thank you

[traceyyoung]

Thanks..very great explanation and labeling to show features on echo

[eclampsium]

thank you. used on my HOC meeting today

[raveeshroy]

0:16 LV HYPERTROPHY 0:24 SYSTOLIC ANTERIOR MOTION OF MITRAL VALVE 0:31 SYSTOLIC ANTERIOR MOTION OF MITRAL VALVE IN M MODE 0:57 CONTINUOUS WAVE (CW) DOPPLER MEASURES HIGH VELOCITY INDICATING OBSTRUCTION IN THE LVOT 1:06 LVOT OBSTRUCTION MAY LEAD TO DECREASED CORONARY PERFUSION AND TACHYDYSRHYTHMIA. HYPERTROPHY OF THE LV SEPTUM OBSTRUCTS THE LVOT. SAM INCREASES LVOT OBSTRUCTION INCREASING RISK OF SUDDEN DEATH