Article ID Journal Published Year Pages File Type
5610905 Journal of the American Society of Echocardiography 2011 8 Pages PDF
Abstract
Although standing increased gradients by 76%, it is not as potent a provocative maneuver as Valsalva or treadmill exercise. Nevertheless, standing is recommended as a physiologic provocative maneuver. In some patients standing may guide therapy; in others, the standing and exercise gradient provide a correct appreciation of the range of physiologically experienced gradients during daily upright activity.
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