Three-dimensional anatomic features of the mitral valve that predict systolic anterior motion occurring during dobutamine stress echocardiography.
Patrick MeimounVanessa KacyAgathe VernierValentin StracchiFrederic ElmkiesThierry BotoroJerome ClercChristophe TribouilloyPublished in: Echocardiography (Mount Kisco, N.Y.) (2024)
SAM during DSE is multifactorial. In addition to the pharmacologic effects of dobutamine on the myocardium, 3D echocardiographic features of the mitral valve (a smaller mitral annulus, a narrower mitral-aortic angle, and a longer posterior leaflet) appear to predispose to SAM.