Abstract

Case Report

Type II myocardial infarction and latent LVOT obstruction due to Systolic Anterior Motion of mitral valve

Makrides Constantinos*

Published: 02 August, 2019 | Volume 3 - Issue 1 | Pages: 017-020

Left ventricular outflow tract obstruction is a well-recognized feature in hypertrophic cardiomyopathy but can occur in other clinical scenarios when anatomically susceptible heart is subjected to permissive physiological conditions that provoke systolic anterior motion of the mitral valve (SAM): ie, reduced preload, increased inotropic state, and decreased afterload.

This report describes a case of hemodynamically significant latent LVOTO that was associated with hypotension, syncope, acute myocardial ischemic ECG changes, and an increase in cardiac enzymes. (Type II myocardial infarction) in a non HCM patient with excessive anterior mitral valve tissue.

Read Full Article HTML DOI: 10.29328/journal.acr.1001015 Cite this Article Read Full Article PDF

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