학술논문

Why is the patient still symptomatic after myectomy for HCM!
Document Type
Article
Source
Pacing & Clinical Electrophysiology. Oct2022, Vol. 45 Issue 10, p1207-1209. 3p.
Subject
*CARDIAC hypertrophy
*IMPLANTABLE cardioverter-defibrillators
*HEART block
*VENTRICULAR outflow obstruction
*ELECTROCARDIOGRAPHY
*ABLATION techniques
*SYMPTOMS
Language
ISSN
0147-8389
Abstract
We describe the case of a young female patient with hypertrophic cardiomyopathy (HCM) with a dual chamber implantable cardioverter defibrillator (ICD), and complete heart block from a prior septal ablation procedure. Due to persistent left ventricular outflow tract (LVOT) obstruction and symptoms, she underwent surgical myectomy. Her exertional symptoms continued despite improved LVOT flow parameters. A comprehensive evaluation, including ICD interrogation, helped arrive at the correct diagnosis and treatment plan. [ABSTRACT FROM AUTHOR]