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Also, during diastole, the mitral valve repeatedly hits against the hypertrophied IVS, thus damaging it and ultimately causing mitral insufficiency. (There is a great photo of this in the Robbins textbook, page 582.) People with IHSS are prone to arrhythmias, and because of this may die a sudden death. People also die of CHF. Surgery to remove part of the hypertrophied IVS may help. Prognosis ... ................
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