Page 1 of 2: Med- hocm

shraddha · Credits: 19600 My Scrapbook

all r true about HOCM except
1. B- blockers are useful
2.asymmetrical septal hypertrophy
3.dynamic LV outflow obstruction
4.double apical pulse

hardcoremallu · Credits: 15010 My Scrapbook My Reading List 6 Books

is the ans:-- dynamic LV outflow obstruction

shraddha · Credits: 19600 My Scrapbook

no that is the Pathology in HOCM
actually all r correct
this apeared in all india 2000

bhavu · Credits: 9491 My Scrapbook

no b blockers are c/i in hocm.ref.kdt harrisonanswer is 1.

soniadr25 · Credits: 2072 My Scrapbook

To quote Harrsion

"....ß-Adrenergic blockers are often used and ameliorate angina pectoris and syncope in one-third to one-half of patients...."

"...Most patients with gradients demonstrate a double or triple apical precordial impulse..."

"...Two features of HCM have attracted the greatest attention: (1) asymmetric left ventricular hypertrophy, often with preferential hypertrophy of the interventricular septum; and (2) a dynamic left ventricular outflow tract pressure gradient, related to a narrowing of the subaortic area as a consequence of the midsystolic apposition of the anterior mitral valve leaflet against the hypertrophied septum, i.e., systolic anterior motion (SAM) of the mitral valve...."

So Dr Shraddha is right!!

MockTurtle · Credits: 5617 My Scrapbook

All the answers are correct.

BRAVO · Credits: 46105 My Scrapbook

all are true.

infact beta blockers should be the initial drug to be used in symptomatic individuals.

beta blockers decrease obstruction and the intensity of murmur...

shraddha · Credits: 19600 My Scrapbook

May decrease outflow obstruction and increase ventricular compliance. No clear evidence indicates that they decrease sudden death. Approximately one half of patients with HCM who use beta-blockers feel improvement in symptoms.

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B blocker :it is a first line drug

bhavu · Credits: 9491 My Scrapbook

ya ya guys.sorry for that. actualy while posting nitrates was in mind instead of b blockers.yes but you all slapped me hard and this was needed badly.thank you for that.

shraddha · Credits: 19600 My Scrapbook

but bhavu what's the ANSWER

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