{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,28]],"date-time":"2023-10-28T16:10:26Z","timestamp":1698509426456},"reference-count":9,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2009,2,4]],"date-time":"2009-02-04T00:00:00Z","timestamp":1233705600000},"content-version":"vor","delay-in-days":4478,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[1996,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We describe a patient with hypertrophic cardiomyopathy who had a uniquely abnormal jet from the base to the apex during late systole and the relaxation period. This 48\u2010year\u2010old woman was admitted with exertional dyspnea and palpitations. Two\u2010dimensional echocardiography revealed asymmetric septal hypertrophy and a left midventricular obstruction at the level of the papillary muscles. A high\u2010 velocity ejectional jet (peak velocity 4.8 m\/s) directed toward the base during systole and an abnormal jet (peak velocity 2.2 m\/s) directed toward the apex during late systole and the relaxation period were demonstrated through the midventricular obstruction site using Doppler echocardiography. The peak systolic pressure gradient between the apical and the basal chamber was 91 mmHg, and the peak systolic pressure was higher in the apical chamber than in the basal chamber. However, a reverse pressure gradient was revealed between the two chambers during late systole and the relaxation period when the abnormal jet was demonstrated.<\/jats:p>","DOI":"10.1002\/clc.4960191116","type":"journal-article","created":{"date-parts":[[2009,2,4]],"date-time":"2009-02-04T08:33:37Z","timestamp":1233736417000},"page":"913-915","source":"Crossref","is-referenced-by-count":0,"title":["Uniquely abnormal intracavitary row during late systole and relaxation in hypertrophic obstructive cardiomyopathy with midventricular obstruction"],"prefix":"10.1002","volume":"19","author":[{"given":"Hiroshi","family":"Yamanari","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Morita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Mouta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoru","family":"Sakuragi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tohru","family":"Ohe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,2,4]]},"reference":[{"key":"e_1_2_1_2_2","first-page":"175","volume-title":"Cardiology Update","author":"Shah PM","year":"1983"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0033-0620(85)90024-6"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(87)80196-1"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(88)90730-2"},{"issue":"74","key":"e_1_2_1_6_2","article-title":"Color flow and spectral Doppler evaluation of midventricular obstruction, hypertrophic obstructive cardiomyopathy, and cavity obliteration (abstr)","volume":"11","author":"Maze S","year":"1988","journal-title":"J Am Coll Cardiol"},{"key":"e_1_2_1_7_2","doi-asserted-by":"crossref","first-page":"1132","DOI":"10.1093\/oxfordjournals.eurheartj.a059847","article-title":"Left ventricular flow from apex to base during systole and isovolemic relaxation in a patient with hypertrophic cardiomyopathy and midventricular obstruction","volume":"12","author":"Sutsch G","year":"1991","journal-title":"Eur Heart J"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(93)91081-O"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(10)80264-5"},{"key":"e_1_2_1_10_2","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1016\/0002-9149(76)90491-4","article-title":"Problems in echocardiographic volume determinations: Echocardiographic\u2010an\u2010giographic correlations in the presence or absence of asynergy","volume":"37","author":"Teichholz LE","year":"1976","journal-title":"Am J Cardiol"}],"container-title":["Clinical Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fclc.4960191116","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/clc.4960191116","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T18:59:49Z","timestamp":1698433189000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/clc.4960191116"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1996,11]]},"references-count":9,"journal-issue":{"issue":"11","published-print":{"date-parts":[[1996,11]]}},"alternative-id":["10.1002\/clc.4960191116"],"URL":"https:\/\/doi.org\/10.1002\/clc.4960191116","archive":["Portico"],"relation":{},"ISSN":["0160-9289","1932-8737"],"issn-type":[{"value":"0160-9289","type":"print"},{"value":"1932-8737","type":"electronic"}],"subject":[],"published":{"date-parts":[[1996,11]]}}}