Apical aneurism and myocardial bridging in a patient with hypertrophic cardiomyopathy: Association or consequence of the myocardial bridging?

The identification of high-risk patients with hypertrophic cardiomyopathy (HC) for primaryprevention of sudden cardiac death (SCD) remains a challenging issue, since major riskfactors sometimes lack specificity. We report the case of a patient with HC and association ofapical aneurysm and myocardial...

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Veröffentlicht in:Cardiology journal 2012, Vol.19 (6), p.643-645
Hauptverfasser: Foucault, Anthony, Hilpert, Loic, Hédoire, Francois, Saloux, Eric, Gomes, Sophie, Pellissier, Arnaud, Scanu, Patrice, Champ-Rigot, Laure, Milliez, Paul
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Sprache:eng
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Zusammenfassung:The identification of high-risk patients with hypertrophic cardiomyopathy (HC) for primaryprevention of sudden cardiac death (SCD) remains a challenging issue, since major riskfactors sometimes lack specificity. We report the case of a patient with HC and association ofapical aneurysm and myocardial bridging who had been initially not implanted because shehad only one major risk factor. She subsequently experienced a sustained ventricular tachycardiathat finally motivated the implantation. We conclude that it is never an easy decision toimplant a preventive implantable cardioverter-defibrillator (ICD). Nevertheless, additionalcriteria for a better selection of patients who would benefit from an ICD implant are certainlyuseful.
ISSN:1897-5593
1898-018X
DOI:10.5603/CJ.2012.0119