Syncope in hypertrophic cardiomyopathy.

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Syncope in hypertrophic cardiomyopathy.

A patient with hypertrophic cardiomyopathy, syncope, and frequent ventricular tachycardia was monitored during a syncopal episode. An unrecordable blood pressure and the loss of a left ventricular outflow tract murmur without evidence of arrhythmia suggested a primary haemodynamic mechanism such as reduction in left ventricular volume.

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Abrupt aggravation of atrioventricular block and syncope in hypertrophic cardiomyopathy.

A 10 year old girl with hypertrophic cardiomyopathy (HCM) developed high grade atrioventricular (A-V) block unexpectedly, which instantly led to syncope; she required a permanent pacemaker. High grade A-V block, a rare complication of HCM, relates closely to syncope or sudden death in this disease and if progressive the use of cardiac pacing should be considered without delay.

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Syncope in hypertrophic obstructive cardiomyopathy due to asystole.

Although faintness, syncope, and sudden death are common in hypertrophic obstructive cardiomyopathy, their cause has not been well documented. The occurrence of ventricular asystole causing syncope after exercise is described in one patient. The elucidation of the disturbance of rhythm may, therefore, be ofgreat importance, as sudden death may be avoided in these patients by the prophylactic us...

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Syncope and risk of sudden death in hypertrophic cardiomyopathy.

BACKGROUND The prognostic significance of syncope has not been investigated systematically in hypertrophic cardiomyopathy, and treatment strategies have been based largely on intuition and experience. METHODS AND RESULTS We assessed the relationship between syncope and sudden death in 1511 consecutive patients with hypertrophic cardiomyopathy. Unexplained (n=153) or neurally mediated (n=52) s...

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Apical hypertrophic cardiomyopathy presenting as recurrent unexplained syncope.

Apical hypertrophic cardiomyopathy (AHC) is a rare variant of hypertrophic cardiomyopathy. Since its description by Sakamoto in 1976 in Japanese patients, our understanding of this entity has evolved. Although cardiac magnetic resonance imaging has emerged as the gold standard for diagnosing AHC, clinical attention must be drawn to the unique electrocardiographic features that provide the initi...

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ژورنال

عنوان ژورنال: Heart

سال: 1982

ISSN: 1355-6037

DOI: 10.1136/hrt.47.2.177