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J Am Coll Cardiol, 1998; 32:1589-1595
© 1998 by the American College of Cardiology Foundation
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Increased intraventricular velocities

An unrecognized cause of systolic murmur in adults

Peter H. Spooner, MDa, M. Patricia Perry, RDCSa, Robert O. Brandenburg, MD, FACCa and Gregory D. Pennock, MD, FACCa

a Department of Medicine, Tucson Veterans Affairs Medical Center and University of Arizona, Sarver Heart Center, Tucson, Arizona, USA



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Figure 1 Upper panel, Doppler color flow imaging demonstrating color aliasing and turbulent flow around the proximal septum during systole. Lower panel, Pulsed wave Doppler interrogation at the mid-ventricle demonstrating an IIV. Note mid to late systolic peak and relatively lower velocities as compared with those obtained in hypertrophic obstructive cardiomyopathy.

 


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Figure 2 (A) Percent LV fractional shortening and (B) LVEF in patients with and without IIVs. Data points are presented with the superimposed mean value (thick line) and standard deviation (thin lines).

 


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Figure 3 (A) Left ventricular mass index and (B) RWT in patients with and without IIVs. Data points are presented with the superimposed mean value (thick line) and standard deviation (thin lines).

 


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Figure 4 Pulsed wave Doppler representation of IIV before (A) and after (B) the Valsalva maneuver.

 





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