By Barry J. Maron
Written through the authority on hypertrophic cardiomyopathy (HCM) and an HCM sufferer, and entirely counseled through the Hypertrophic Cardiomyopathy organization (HCMA), the best advocacy and help association, the third variation of this best-selling advisor bargains extraordinary perception into all features of dwelling with and treating HCM
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Extra resources for A Guide to Hypertrophic Cardiomyopathy: For Patients, Their Families, and Interested Physicians
ARVC, arrhythmogenic right ventricular cardiomyopathy; AS, aortic stenosis; CAD, coronary artery disease (due to atherosclerosis); CHD, congenital heart disease; CM, cardiomyopathy; LAD, left anterior descending coronary artery; LVH, left ventricular hypertrophy; MVP, mitral valve prolapse; WPW, Wolff–Parkinson–White. which is completely immune, and these events have not uncommonly been reported in midlife. The first 10–12 years of life are generally, but not invariably, free of adverse events (at a time when it is also uncommon for hypertrophy to appear).
Transient arrhythmias with premature beats originating from the atria and ventricles occur much more commonly, but usually do not have particular clinical importance to HCM patients, even when present in large numbers. Ventricular tachycardia/ventricular fibrillation Ventricular tachycardia is an incessant and repetitive occurrence of abnormal beats arising from the ventricles. This is a potentially serious arrhythmia in HCM since it may lead to ventricular fibrillation and sudden death. Selected patients prone to these arrhythmias may be treated with an 44 A Guide to Hypertrophic Cardiomyopathy implantable cardioverter defibrillator, designed to sense and automatically terminate these arrhythmias (as will be discussed later).
In this regard, the term “risk stratification” is used to describe those tests, symptoms, and disease characteristics which are conventionally used to determine whether a given patient should be regarded at “high risk” or increased risk for sudden cardiac arrest (SCA) (Figure 23). Patients with one or more major risk factors are encouraged to discuss ICD therapy with their cardiologist. Unfortunately, we know that occasionally patients with none of the known risk factors may also suffer cardiac arrest.
A Guide to Hypertrophic Cardiomyopathy: For Patients, Their Families, and Interested Physicians by Barry J. Maron