Symptoms
Classic triad of symptoms:
- Angina
- Can occur with normal coronary arteries
- Caused by increased myocardial oxygen demand due to LV hypertrophyvCompounded by reduced myocardial oxygen supply due to LV hypertrophy distorting flow and coronary calcification
- Syncope
- Occurs during exercise
- Likely due to fixed cardiac output state failing to meet increased demands leading to a drop in cerebral perfusion
- Dyspnoea
- High diastolic pressure leads to pulmonary congestion
- Usually occurs late in disease