Fig. 4From: Hypertrophic obstructive cardiomyopathy complicated with acute myocardial infarction and diffuse fibrosis: surgery or not?Echocardiogram. The echocardiogram demonstrated hypertrophy involving the interventricular septum, left ventricular anterior wall and apex, and severe LVOT obstruction and RVOT obstruction. The peak gradient across the LVOT was 73 mmHg, and the RVOT was 23 mmHg at restBack to article page