Left ventricular hypertrophy (present in 85%) Left ventricular strain pattern: T-wave inversion – inferior and lateral leads ST-segment depression inferior and lateral leads (becomes increasingly common as the hypertrophy progresses) AV nodal block...
As the patient is symptomatic and surgery is non-urgent guidance would suggest delaying surgery for consideration of valve replacement prior to non-cardiac surgery Symptomatic Patients Asymptomatic Patients Candidate for valve replacement Not a candidate for valve...