Full 2L QBank
Medicine General 2a825193

All are true about hyperophic cardiomyopathy, except :

A
Systolic dysfunction
B
Concentric hyperophy
C
Diastolic dysfunction
D
Double apical impulse
High-Yield Explanation
Answer is A (Systolic dysfunction) 'The ubiquitous pathophysiological abnormality in hyperophic obstructive cardiomyopathy is not systolic but rather diastolic dysfunction' Note: It has now been demonstrated that systolic dysfunction characterized by an outflow tract pressure gradient is present only in about one quaer of patients with HCM. The pathophysiological abnormality that has now been demonstrated is diastolic dysfunction characterized by increased stiffness of the hyperophied muscle.

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