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Dynamic Left Ventricular Outflow Tract Obstruction Exacerbated by Thoracic Kyphosis

We present a 74-year-old woman with kyphosis and symptoms of pre/syncope. Heart catheterization revealed dynamic left ventricular outflow tract obstruction (DLVOTO) with Brockenbrough Braunwald response only when kyphotic posture was assumed. She had a positive response to metoprolol. DLVOTO is a ch...

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Detalles Bibliográficos
Autores principales: Alabdaljabar, Mohamad S., Eleid, Mackram F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9911919/
https://www.ncbi.nlm.nih.gov/pubmed/36776797
http://dx.doi.org/10.1016/j.jaccas.2022.101710
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author Alabdaljabar, Mohamad S.
Eleid, Mackram F.
author_facet Alabdaljabar, Mohamad S.
Eleid, Mackram F.
author_sort Alabdaljabar, Mohamad S.
collection PubMed
description We present a 74-year-old woman with kyphosis and symptoms of pre/syncope. Heart catheterization revealed dynamic left ventricular outflow tract obstruction (DLVOTO) with Brockenbrough Braunwald response only when kyphotic posture was assumed. She had a positive response to metoprolol. DLVOTO is a challenging diagnosis in the absence of resting LVOTO. (Level of Difficulty: Beginner.)
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spelling pubmed-99119192023-02-11 Dynamic Left Ventricular Outflow Tract Obstruction Exacerbated by Thoracic Kyphosis Alabdaljabar, Mohamad S. Eleid, Mackram F. JACC Case Rep Case Report We present a 74-year-old woman with kyphosis and symptoms of pre/syncope. Heart catheterization revealed dynamic left ventricular outflow tract obstruction (DLVOTO) with Brockenbrough Braunwald response only when kyphotic posture was assumed. She had a positive response to metoprolol. DLVOTO is a challenging diagnosis in the absence of resting LVOTO. (Level of Difficulty: Beginner.) Elsevier 2022-12-17 /pmc/articles/PMC9911919/ /pubmed/36776797 http://dx.doi.org/10.1016/j.jaccas.2022.101710 Text en © 2023 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Alabdaljabar, Mohamad S.
Eleid, Mackram F.
Dynamic Left Ventricular Outflow Tract Obstruction Exacerbated by Thoracic Kyphosis
title Dynamic Left Ventricular Outflow Tract Obstruction Exacerbated by Thoracic Kyphosis
title_full Dynamic Left Ventricular Outflow Tract Obstruction Exacerbated by Thoracic Kyphosis
title_fullStr Dynamic Left Ventricular Outflow Tract Obstruction Exacerbated by Thoracic Kyphosis
title_full_unstemmed Dynamic Left Ventricular Outflow Tract Obstruction Exacerbated by Thoracic Kyphosis
title_short Dynamic Left Ventricular Outflow Tract Obstruction Exacerbated by Thoracic Kyphosis
title_sort dynamic left ventricular outflow tract obstruction exacerbated by thoracic kyphosis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9911919/
https://www.ncbi.nlm.nih.gov/pubmed/36776797
http://dx.doi.org/10.1016/j.jaccas.2022.101710
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