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Dynamic Left Ventricular Outflow Obstruction: A Reversible Mechanical Complication of Acute Myocardial Infarction

A Case Report

Division of Cardiology, The Brooklyn Hospital Center, Brooklyn, New York

Maurice Rachko

Division of Cardiology, The Brooklyn Hospital Center, Brooklyn, New York

Tak Kwan

Department of Medicine, SUNY HSC at Brooklyn, Brooklyn, NY

Aylmer Tang

Department of Medicine, SUNY HSC at Brooklyn, Brooklyn, NY

Richard A. Stein

Division of Cardiology, The Brooklyn Hospital Center, Brooklyn, New York

Dynamic left ventricular outflow obstruction is a less well-known mechanical complication of acute myocardial infarction. Early diagnosis is important because initiation of proper manage ment and avoidance of precipitating factors can lead to complete recovery. A patient is described who presented with acute myocardial infarction and in whom significant left ventric ular outflow tract obstruction developed. Adequate therapy with β blockers and calcium channel blockers led to complete resolution of the obstruction.

Angiology, Vol. 53, No. 6, 721-726 (2002)
DOI: 10.1177/000331970205300614


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