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Patients with hypertrophic cardiomyopathy may have labile left ventricular (LV) outflow tract gradients. If septal reduction therapy is to be considered, there must a gradient of >50 mm Hg either at rest or during provocation.
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Normal (subpulmonary) right ventricular pressure also varies considerably with age, respiratory status, and heart rhythm, structure, and function. Peak systolic pressure is typically 20–30 mmHg. End-diastolic pressure is typically equal or just slightly less than the right atrial “a” wave at 3–6 mmHg (Fig. 23.2 ).
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