Sleep Apnea, Septal Myectomy, and the Valsalva/Mueller Maneuvers: Who Can Resist Loving Hemodynamic Physiology?

Patients with hypertrophic cardiomyopathy (HCM) represent a unique group of cardiovascular patients because common indicators of cardiomyopathy progression may be of limited utility in HCM (left ventricular ejection fraction), while other individualized measures have been identified to predict adverse outcomes (left atrial size, atrial and ventricular arrhythmias, septal thickness, peak oxygen consumption). The distinctive aspects of obstructive...