Awareness of ‘Systolic Anterior Motion’ in Different Conditions
Perioperative echocardiography, especially transesophageal echocardiography, is of paramount importance in evaluating and managing refractory hypotension, a potential cause of which is systolic anterior motion (SAM) of anterior mitral leaflet. Dynamically moving anterior mitral valve leaflet towards...
Main Authors: | , , |
---|---|
Format: | Article |
Language: | English |
Published: |
SAGE Publishing
2018-01-01
|
Series: | Clinical Medicine Insights: Cardiology |
Online Access: | https://doi.org/10.1177/1179546817751921 |
_version_ | 1818239325752524800 |
---|---|
author | Monish Raut Arun Maheshwari Baryon Swain |
author_facet | Monish Raut Arun Maheshwari Baryon Swain |
author_sort | Monish Raut |
collection | DOAJ |
description | Perioperative echocardiography, especially transesophageal echocardiography, is of paramount importance in evaluating and managing refractory hypotension, a potential cause of which is systolic anterior motion (SAM) of anterior mitral leaflet. Dynamically moving anterior mitral valve leaflet towards the left ventricular outflow tract (LVOT) is described as SAM. Although SAM was initially observed in patients with hypertrophic cardiomyopathy, it can also be seen in patients with complex dynamic anatomy of the left ventricle. Interestingly, SAM may or may not give rise to clinically significant LVOT obstruction. Hence, it is of paramount importance for perioperative physician to know such ‘dynamic SAM’ which can potentially and significantly affect and alter perioperative management. |
first_indexed | 2024-12-12T12:55:46Z |
format | Article |
id | doaj.art-c7dbe0f7744848b29daee101c6ddbd77 |
institution | Directory Open Access Journal |
issn | 1179-5468 |
language | English |
last_indexed | 2024-12-12T12:55:46Z |
publishDate | 2018-01-01 |
publisher | SAGE Publishing |
record_format | Article |
series | Clinical Medicine Insights: Cardiology |
spelling | doaj.art-c7dbe0f7744848b29daee101c6ddbd772022-12-22T00:23:54ZengSAGE PublishingClinical Medicine Insights: Cardiology1179-54682018-01-011210.1177/1179546817751921Awareness of ‘Systolic Anterior Motion’ in Different ConditionsMonish RautArun MaheshwariBaryon SwainPerioperative echocardiography, especially transesophageal echocardiography, is of paramount importance in evaluating and managing refractory hypotension, a potential cause of which is systolic anterior motion (SAM) of anterior mitral leaflet. Dynamically moving anterior mitral valve leaflet towards the left ventricular outflow tract (LVOT) is described as SAM. Although SAM was initially observed in patients with hypertrophic cardiomyopathy, it can also be seen in patients with complex dynamic anatomy of the left ventricle. Interestingly, SAM may or may not give rise to clinically significant LVOT obstruction. Hence, it is of paramount importance for perioperative physician to know such ‘dynamic SAM’ which can potentially and significantly affect and alter perioperative management.https://doi.org/10.1177/1179546817751921 |
spellingShingle | Monish Raut Arun Maheshwari Baryon Swain Awareness of ‘Systolic Anterior Motion’ in Different Conditions Clinical Medicine Insights: Cardiology |
title | Awareness of ‘Systolic Anterior Motion’ in Different Conditions |
title_full | Awareness of ‘Systolic Anterior Motion’ in Different Conditions |
title_fullStr | Awareness of ‘Systolic Anterior Motion’ in Different Conditions |
title_full_unstemmed | Awareness of ‘Systolic Anterior Motion’ in Different Conditions |
title_short | Awareness of ‘Systolic Anterior Motion’ in Different Conditions |
title_sort | awareness of systolic anterior motion in different conditions |
url | https://doi.org/10.1177/1179546817751921 |
work_keys_str_mv | AT monishraut awarenessofsystolicanteriormotionindifferentconditions AT arunmaheshwari awarenessofsystolicanteriormotionindifferentconditions AT baryonswain awarenessofsystolicanteriormotionindifferentconditions |