Page 2 of 2: Med- hocm

bhavu · Credits: 9481 My Scrapbook

now if i have to choose one i will choose c becoz check harrsion it says

earlier it was beleved that c is true.

now it has become clear that however that only about one quater of pt. with hcm demonstrate an outflow tract pressure gradeint.
the ubiquitous pathphysiologic abnormality is not systlic but diastolic dysfunction char.by increased stiffness of the hypertrophied muscle.this result in elevated diastolic filling pressures and is present despite a hypedynamic left ventricle.

drsweta06 · Credits: 5916 My Scrapbook

all r correct

shraddha · Credits: 19590 My Scrapbook

i was also thinking so but
read futher down

In contrast to the obstruction produced by a fixed narrowed orifice, such as valvular aortic stenosis, the pressure gradient in HCM, when present, is dynamic and may change between examinations and even from beat to beat. Obstruction appears to result from further narrowing of an already small left ventricular outflow tract by SAM of the mitral valve against the hypertrophied septum

bhavu · Credits: 9481 My Scrapbook

shraddha there is misprint in your book.
it is all india 2000 question and option a was b agonist is useful and not b blocker and hence the answer is 1. becoz b agonist are not used.

shraddha · Credits: 19590 My Scrapbook

that's a big relief bhavu

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