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LVOTO is defined as “an instantaneous peak Doppler LVOT pressure gradient at least 30 mmHg at rest or during physiological provocation such as Valsalva manoeuvre (Slama et al, 2012) LVOTO occurs at the subvalvular level – technically the valvular (e.g. aortic stenosis) or supravalvular levels are not part of the LVOTO
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