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Dynamic Left Ventricular Outflow Tract Obstruction in Acute Myocardial Infarction With Shock. Cause, Effect, and Coincidence. Anand Chockalingam , Lokesh Tejwani , Kul Aggarwal and. Kevin C. Dellsperger. Originally published 31 Jul 2007 https://doi.org/10.1161/CIRCULATIONAHA.107.711697 Circulation. 2007;116:e110–e113. .
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SAM is most prominent in late systole as the LV empties and cavity size is decreased (SAM therefore is a dynamic obstruction i.e., gets worse throughout systole, as opposed to aortic stenosis which is a fixed obstruction)
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