Advance Online Publiction

Surgical Management for Systolic Anterior Motion (SAM) of the Mitral Valve in Obstructive Hypertrophic Myopathy https://t.co/FBCRCavjYE

anterior motion, hypertrophic cardiomyopathy, valve repair, technique

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22 y/o 34-weeks pregnant F, massive hemoptysis. PH: 5 mos prior hemoptysis&dyspnea. 1st hemoptysis age 17 & 7-months pregnant. Examination: Tachypnea w desaturation. Loud P2& pansystolic murmur. X-ray: cardiomegaly, enlarged pulmonary trunk&right PA. ECG: RV hypertrophy. Echo ⬇️

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Last night one of our best and most loving staff members passed away after dealing with systolic congestive heart failure for the longest time, and this morning our server woke up with tears in our eyes. Evie, we all love you and will always remember you. Rest in peace

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This is Angelo Mosso's sphygmomanometer, an early device for measuring blood pressure. The patient inserted their fingers into the tubes (marked 'E') which were filled with water - both diastolic and systolic pressures (and a pulse wave) were recorded on the black cylinder.

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