This patient has severe LVH, cavity obliteration, and an estimated gradient from the LV to the Ao of 90 with continuous wave doppler. On cath his intraventricular pressure had a 20mm gradient as well. He does not have isolated septal hypertrophy, are there any invasive management options?
would do a contrast study to better define endocardium
Would try medical therapy first to improve LVDNC with BB or CCB. Do no
harm!