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- Title
Left ventricular apical aneurysmin hypertrophic cardiomyopathy as a risk factor for sudden death at any age.
- Authors
Rowin, Ethan J.; Maron, Barry J.; Chokshi, Aalap; Maron, Martin S.
- Abstract
In hypertrophic cardiomyopathy (HCM) aging has proved protective against sudden death (SD) risk and aggressive recommendations for prophylactic ICDs are uncommon in patients = 60 years. Nevertheless, we present a patient with an unexpected but aborted sudden death event at the advanced age of 71 years due to a left ventricular apical aneurysm (LVAA) which has emerged as a novel SD marker. Subsequent reappraisal of the Tufts HCM database, specifically the 118 LVAApatients, showed that 36% of SD events occurred at = 60 years. Of HCM patients = 60 years, SD was 8-fold more common with aneurysm than without aneurysms (16% vs 2%;P<0.001). Risk in HCM with LVAA persists throughout life and senior LVAA patients should also be considered forprimary prevention of SD with the ICD.
- Subjects
CARDIAC arrest; CARDIAC hypertrophy; ANEURYSMS; AGING; ELECTROCARDIOGRAPHY; LEFT heart ventricle; IMPLANTABLE cardioverter-defibrillators; DIAGNOSIS; DISEASE risk factors
- Publication
Pacing & Clinical Electrophysiology, 2018, Vol 41, Issue 8, p1031
- ISSN
0147-8389
- Publication type
Article
- DOI
10.1111/pace.13413