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Images in Clinical Medicine
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Volume 331:238 July 28, 1994 Number 4
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Pressure Tracings in Obstructive Cardiomyopathy

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Figure 1. Pressure Tracings in Obstructive Cardiomyopathy.

Simultaneous arterial (A) and left ventricular (LV) pressures were recorded in a patient with hypertrophic obstructive cardiomyopathy. The first three beats show a peak systolic gradient of 25 mm Hg. On the first sinus beat after a premature ventricular contraction (PVC), the peak-systolic gradient increases to over 100 mm Hg, but the pulse pressure (arterial systolic pressure minus diastolic pressure) decreases. This characteristic pattern is known as the Brockenbrough-Braunwald sign. The decrease in pulse pressure after a premature ventricular contraction is due to reduced stroke volume caused by increased dynamic obstruction, which is . . . [Full Text of this Article]

 

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The Brockenbrough-Braunwald-Morrow Sign
Criley J. M., Goldberg S. L., French W. J., Pollock S. G.
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N Engl J Med 1994; 331:1589-1590, Dec 8, 1994. Correspondence

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