Abstract:561flow occurred across the left ventricular outflow tract with a peak gradient of 57.2 mmHg. Systolic anterior motion (SAM) could not be demonstrated by M mode echocardiography.It was suspected that the severe mitral insufficiency was secondary to the hyperdynamic left ventricular function and severe volume depletion. During echocardiographic monitoring, 1000 mL of normal saline was rapidly infused over a period of 30 minutes. A progressive slowing of the heart rate from 96 to 64 beats per minute, a decrease … Show more
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