Why wouldn’t more filling time⏱ prior to post PVC beat lead to less obstruction, less gradient, & ↑ arterial pressure?
After all, doesn’t ↑LV volume in #HCM ↓gradient and improve symptoms?
Cornerstone tx is hydration/💊s that ↑ diastolic filling time ...
This particular case utilized alcohol septal ablation which worked beautifully for our patient.
Of course, surgical myectomy😷 is another option & can be more preferable depending on the case, having a great surgeon around
Especially w/ MV pathology