Transcription of Hypertrophic Obstructive Cardiomyopathy
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Hypertrophic Obstructive Cardiomyopathy
Clinical practice This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors clinical recommendations. n engl j med 350;13 25, 2004 The new england journal of medicine 1320 Hypertrophic Obstructive Cardiomyopathy Rick A. Nishimura, , and David R. Holmes, Jr., From the Division of Cardiovascular Dis-eases and Internal medicine , Mayo Clinic,200 First St. SW, Rochester, MN 55905,where reprint requests should be addressedto Dr. Engl M Med 2004;350:1320-7. Copyright 2004 Massachusetts Medical Society. A 28-year-old man presents with a two-year history of increasing dyspnea on strenu-ous exertion and is found to have Hypertrophic Cardiomyopathy , with a septal thick-ness of 23 mm and a left ventricular outflow gradient of 80 mm Hg. There is no familyhistory of Hypertrophic Cardiomyopathy or sudden death.
n engl j med 350;13 www.nejm.org march 25, 2004 The new england journal of medicine 1322 be used in this subgroup of patients with severe symptomatic obstruction or that its administration
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