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Simultaneous LV–Ao pressure gradients performed with the above technique using a Swan-Ganz catheter showed a resting peak LV outflow tract gradient of 113 mmHg, which increased to 164 mmHg with induction of premature ventricular contractions. The pullback confirmed that the obstruction was in the LV outflow tract .
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CMR indicates cardiovascular magnetic resonance; ICD, implantable cardioverter-defibrillator; LGE, late gadolinium enhancement; LV, left ventricular; LVH, left ventricular hypertrophy; LVOTO, left ventricular outflow tract obstruction; NSVT, nonsustained ventricular tachycardia; and SCD, sudden cardiac death.
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