Idiopathic hypertrophic subaortic stenosis in the elderly

E. L. Albin, P. A N Chandraratna, B. B. Littman, J. M. Lopez, P. Samet

Research output: Contribution to journalArticle

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Abstract

In a 24-month period, 27 patients with idiopathic hypertrophic subaortic stenosis (IHSS), ages 65-80 years, were observed. Diagnoses were made by echocardiography (24 patients), cardiac catheterization (one patient), and both methods (two patients). The most common symptoms were angina (17 patients), dyspnea (13 patients), and syncope (11 patients). Two patients were asymptomatic, while another complained only of vague retrosternal chest discomfort with exertion. One asymptomatic patient had a completely normal physical examination, but electrocardiography (ECG) demonstrated a pattern of left venticular hypertrophy. Another patient had an inconsistent apical holosystolic murmur. Two patients had alpha streptococcal endocarditis; neither was known to have preexisting valvular disease. Fourteen patients had ECG criteria for left ventricular hypertrophy (LVH). Three patients were known to have associated aortic valve disease. The symptoms of IHSS may be nonspecific; asymptomatic patients with and without cardiac murmurs may be observed. Coexisting valvular disease, coronary artery disease, and bacterial endocarditis were documented. Patterns of myocardial infarction on ECG were not seen in these 27 patients.

Original languageEnglish
Pages (from-to)163-167
Number of pages5
JournalAmerican Journal of the Medical Sciences
Volume274
Issue number2
StatePublished - Dec 1 1977
Externally publishedYes

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Pathologic Constriction
Electrocardiography
Heart Murmurs
Bacterial Endocarditis
Aortic Diseases
Preexisting Condition Coverage
Syncope
Left Ventricular Hypertrophy
Cardiac Catheterization
Endocarditis
Aortic Valve
Dyspnea
Hypertrophy
Physical Examination
Echocardiography
Coronary Artery Disease
Thorax
Myocardial Infarction

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Albin, E. L., Chandraratna, P. A. N., Littman, B. B., Lopez, J. M., & Samet, P. (1977). Idiopathic hypertrophic subaortic stenosis in the elderly. American Journal of the Medical Sciences, 274(2), 163-167.

Idiopathic hypertrophic subaortic stenosis in the elderly. / Albin, E. L.; Chandraratna, P. A N; Littman, B. B.; Lopez, J. M.; Samet, P.

In: American Journal of the Medical Sciences, Vol. 274, No. 2, 01.12.1977, p. 163-167.

Research output: Contribution to journalArticle

Albin, EL, Chandraratna, PAN, Littman, BB, Lopez, JM & Samet, P 1977, 'Idiopathic hypertrophic subaortic stenosis in the elderly', American Journal of the Medical Sciences, vol. 274, no. 2, pp. 163-167.
Albin EL, Chandraratna PAN, Littman BB, Lopez JM, Samet P. Idiopathic hypertrophic subaortic stenosis in the elderly. American Journal of the Medical Sciences. 1977 Dec 1;274(2):163-167.
Albin, E. L. ; Chandraratna, P. A N ; Littman, B. B. ; Lopez, J. M. ; Samet, P. / Idiopathic hypertrophic subaortic stenosis in the elderly. In: American Journal of the Medical Sciences. 1977 ; Vol. 274, No. 2. pp. 163-167.
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