| Title | Provokable left ventricular outflow tract obstruction in a patient without hypertrophy. | | Author(s) | Pasquale F, Tomé-Esteban MT, Morgagni R, Elliott P | | Institution | The Heart Hospital, London, UK. | | Source | Nat Rev Cardiol 2009 Apr; 6(4):313-6. | | Abstract | BACKGROUND: A 61-year-old man presented with shortness of breath and chest pain on exertion. He had been diagnosed as having hiatus hernia 2 years previously and was taking proton-pump inhibitors as necessary. He had a family history of ischemic heart disease and subarachnoid hemorrhage.
INVESTIGATIONS: Physical examination, electrocardiography, echocardiography, cardiopulmonary exercise testing, coronary angiography, transoesophageal echocardiography, stress echocardiography.
DIAGNOSIS: Provokable left ventricular outflow tract obstruction without electrocardiographic abnormalities or left ventricular hypertrophy on echocardiography.
MANAGEMENT: Pharmacological therapy (atenolol 50 mg daily, disopyramide 250 mg twice daily), dual-chamber pacemaker implantation. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 19352335 |
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