Case 90

HOCM with SAM
Courtesy of: AMC Echolab, AMC, The Netherlands
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PLAX: concentric hypertrophy of left ventricle, SAM of AMVL	PLAX with Color Doppler: high velocity turbulent flow in LVOT
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A4CH: concentric hypertrophy of left ventricle, SAM of AMVL	A3CH
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A3CH with Color Doppler: high velocity turbulent flow in LVOT	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	Pulsed-wave doppler signal of transmitral flow
Continuous-wave doppler signal: dynamic gradient in the middle of left ventricle