Work

Squat in Obstructive Hypertrophic Cardiomyopathy

Year: 2026

Type: article

Abstract: CASE SUMMARY: A 50-year-old man and a 33-year-old woman with obstructive hypertrophic cardiomyopathy underwent auscultation and Doppler echocardiography at our specialty center. Both had a systolic ejection murmur that increased with Valsalva strain and on standing. During prompt squat, the murmur disappeared in the first patient and became grade I in the second. This is to our knowledge the first documentation of confirmation of the hemodynamic changes associated with prompt squat. TAKE-HOME MESSAGES: Mastery of bedside maneuvers such as squatting enhances clinical assessment in obstructive hypertrophic cardiomyopathy. Careful auscultation remains a powerful tool alongside modern imaging.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2026.106920

Authors: Niloufar Javadi, Patrycja Galazka, Matthew Peters, A. Jamil Tajik

Institutions: Aurora Health Care, Aurora St. Luke's Medical Center, Aurora Sinai Medical Center

Language: English

Topic: Cardiomyopathy and Myosin Studies

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850