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fendi monster eyesThe level of obstruction can be valvular, sub-valvular, or supravalvular. It can include anatomic stenotic lesions anywhere from left ventricle (LV) outflow to descending aorta. Hemodynamically, LVOTO has been defined as a peak instantaneous gradient at LV outflow of at least 30 mmHg, either at rest or on provocation.[1]
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Experimental studies suggest that LV performance, measured as stroke work (SW),6 is maximal when Emax Ea. LV performance increases its efficiency when, for a given SW, myocardial oxygen consumption is lower. The optimal efficiency of LV performance is achieved at E. 0.5E. max.5,7.
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