Squat in obstructive hypertrophic cardiomyopathy

Authors

Niloufar Javadi, Advocate Health - MidwestFollow
Patrycja Galazka, Advocate Health - MidwestFollow
Matthew Peters, Advocate Health - MidwestFollow
A Jamil Tajik, Advocate Health - MidwestFollow

Recommended Citation

Javadi N, Galazka P, Peters M, Tajik AJ. Squat in Obstructive Hypertrophic Cardiomyopathy. JACC Case Rep. Published online February 12, 2026. doi:10.1016/j.jaccas.2026.106920

Affiliations

Aurora Sinai/Aurora St Luke's Medical Centers

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.

Type

Article

PubMed ID

41677489