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Dynamic left ventricular outflow tract (LVOT) obstruction has traditionally been associated with hypertrophic obstructive cardiomyopathy. Recently, acute dynamic LVOT obstruction has been described as a complication of myocardial infarction (MI).LVOTO is caused by fast-flowing blood through the LV outflow tract which pulls the mitral valve anteriorly (towards the LV outflow tract) due to a Venturi effect. This is known as systolic anterior motion (SAM) of the mitral valve. Anterior motion of the mitral valve has two consequences:
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Hemodynamically, LVOTO has been defined as a peak instantaneous gradient at LV outflow of at least 30 mmHg, either at rest or on provocation. [1] . While traditionally defined in patients with hypertrophic cardiomyopathy, LVOTO is known to have several causes.
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