Case 91

HOCM with SAM
Courtesy of: AMC Echolab, AMC, The Netherlands
PLAX: severe concentric hypertrophy of left ventricle, SAM of AMVL	PLAX zoom: SAM of AMVL
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PSAX: severe concentric hypertrophy of left ventricle	PLAX with Color Doppler: high velocity turbulent flow in LVOT, moderate mitral regurgitation
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A4CH: systolic obliteration of left ventricle, SAM of AMVL	A4CH with Color Doppler: high velocity turbulent flow in LVOT and in the middle of left ventricle
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Continuous-wave doppler signal: dynamic gradient in LVOT