TY - CHAP M1 - Book, Section TI - Alcohol Septal Ablation A1 - Rier, Jeremy A1 - Nielsen, Christopher A1 - Fernandes, Valerian A2 - Baliga, R. R. A2 - Lilly, Scott M. A2 - Abraham, William T. PY - 2018 T2 - Color Atlas and Synopsis of Interventional Cardiology AB - A 62-year-old man was referred for management of symptomatic hypertrophic obstructive cardiomyopathy (HOCM). For the past 20 years, he has had a history of syncope after recovering from anesthesia for minor outpatient surgery. He was resuscitated with fluids before discharge and did well. About 8 years ago, after another postoperative syncopal episode, a murmur was detected and an echocardiogram confirmed the diagnosis of HOCM. He could only tolerate a low dose of β-blockers due to his low blood pressure. His dyspnea has progressively worsened, and now he is dyspneic with usual activity (New York Heart Association class III). He also feels dizzy and needs to hold on to the hand rail while climbing up stairs. He does not have angina or palpitations. There is no family history of HOCM or sudden death. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesscardiology.mhmedical.com/content.aspx?aid=1160207509 ER -