D. LUKE GLANCY, M.D., F.A.C.P.; RICHARD L. SHEPHERD, M.D.; G. DAVID BEISER, M.D.; STEPHEN E. EPSTEIN, M.D.
Hemodynamic changes occurring with spontaneous atrioventricular dissociation, left ventricular pulsus alternans, a rise in systemic arterial pressure, and the injection of angiographic contrast material support the hypothesis that in a given patient with idiopathic hypertrophic subaortic stenosis the degree of left ventricular outflow obstruction is determined by three factors: the force of left ventricular contraction, ventricular volume, and ventricular afterload.
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GLANCY DL, SHEPHERD RL, BEISER GD, EPSTEIN SE. The Dynamic Nature of Left Ventricular Outflow Obstruction in Idiopathic Hypertrophic Subaortic Stenosis. Ann Intern Med. 1971;75:589–592. doi: 10.7326/0003-4819-75-4-589
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Published: Ann Intern Med. 1971;75(4):589-592.
Cardiology, Valvular Heart Disease.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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