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...

Full description

Bibliographic Details
Main Authors: Monish Raut, Arun Maheshwari, Baryon Swain
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