Abstract
Studies on the natural history of patients with hypertrophic obstructive cardiomyopathy (HOCM) demonstrate a slowly continuing deterioration, characterized additionally by development of mitral insufficiency, atrial fibrillation, congestive heart failure, and sudden death (10, 25, 27, 35, 38, 41). This development can be partly interrupted with different medical therapeutic regimens for HOCM using β-blocking agents and/or calcium antagonists, as demonstrated by recent clinical investigations (7, 15, 20). However, there are some patients who do not respond adequately on a long-term basis to conservative treatment, or they deteriorate again after an initially impressive clinical improvement. These patients may become candidates for surgical treatment.
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© 1988 Dr. Dietrich Steinkopff Verlag GmbH & Co. KG, Darmstadt
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Schulte, H.D., Bircks, W., Lösse, B. (1988). Techniques and complications of transaortic subvalvular myectomy in patients with hypertrophic obstructive cardiomyopathy (HOCM). In: Kaltenbach, M., Hopf, R., Kunkel, B. (eds) New Aspects of Hypertrophic Cardiomyopathy. Steinkopff. https://doi.org/10.1007/978-3-642-85369-2_23
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DOI: https://doi.org/10.1007/978-3-642-85369-2_23
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