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Systolic Anterior Motion of the Mitral Valve (also known as "SAM") What Causes SAM? The Venturi Effect 🤔 As blood accelerates through a narrowed LV outflow tract, velocity rises and pressure falls. This drop in pressure creates suction that pulls the anterior mitral leaflet toward the septum, producing systolic anterior motion (SAM) and dynamic obstruction 😟 Sign up for our educational newsletter for more echocardiography knowledge sent to your inbox 📥️ | The Echo Journal
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