However, there may be significant limitations in the ability to diagnose labile gradients. 2 Reasons for limitations include poor acoustic windows, variability in the Valsalva maneuver, and contamination of the LVOT signal by the mitral regurgitation jet.
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Transesophageal Echocardiogram With Isoproterenol to Unmask Previously Occult Left Ventricular Outflow Tract Obstruction.
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