Abstract
A 62-year-old male patient with hypertrophic obstructive cardiomyopathy (HOCM) under treatment with β-blockers and calcium antagonists was admitted for dyspnoea (NYHA III). Heart rate was 45 b.p.m. ( Panel A ) and echocardiography revealed left ventricular outflow tract obstruction (estimated pressure gradient at rest 70 mmHg; after exercise 89 mmHg) and systolic anterior motion of the mitral leaflet. Cardiac magnetic …
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