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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Veröffentlicht in:JACC. Case reports 2023-02, Vol.7, p.101710, Article 101710
Hauptverfasser: Alabdaljabar, Mohamad S., Eleid, Mackram F.
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Sprache:eng
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Zusammenfassung: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.) [Display omitted]
ISSN:2666-0849
2666-0849
DOI:10.1016/j.jaccas.2022.101710