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Figure 5


Figure 5 Change in Left Atrial Pressure and Myocardial Relaxation According to the Severity of LVOT Gradient and Baseline MR

Only 2 patients had LVOT gradient <50 mm Hg and grade III or IV mitral regurgitation. However, as shown in (A), septal ablation led to decreases in left atrial pressure in patients with gradient ≥50 mm Hg independently of the severity of MR, whereas those patients with LVOT gradient <50 mm Hg more commonly had increases in left atrial pressure. *p = 0.002 and **p = 0.03 for comparison versus LVOT gradient <50 mm Hg and grade I or II mitral regurgitation. Furthermore, as shown in (B), improvement in tau (the time constant of myocardial relaxation) was observed in patients with gradients ≥50 mm Hg independently of the severity of MR. However, prolongation of tau more frequently occurred in those patients with gradients <50 mm Hg. *p = 0.006 and **p = 0.03 for comparisons versus LVOT gradient <50 mm Hg and grade I or II mitral regurgitation. All other comparisons were not statistically significant. LVOT = left ventricular outflow tract; MR = myocardial relaxation.





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