心肌疾病（英文）演示文稿.pptVIP

LEFT VENTRICULAR OUTFLOW TRACT (LVOT) OBSTRUCTION Approximately 25% of patients with hypertrophic cardiomyopathy manifest variable degree of LVOT obstruction. In some, the obstruction or gradient is absent at rest but this can be provoked by exercise or other physiologic or pharmacologic means mechanism of LVOT obstruction Asymmetric Septal Hypertrophy  mechanism of LVOT obstruction Asymmetric Septal Hypertrophy with Obstruction The mechanism of LVOT obstruction The thick upper septum protrudes in the LVOT reducing the orifice size. Blood flowing through this narrowed LVOT causes a Vent