[SCD-FORUM] 71S HCM in 49-year-old man. Dr. de la Torre

[SCD Symposium]

First of all, greetings. Congratulations for such an interesting event.
I have a case I would like to share. It is a young man (49 years old)  
with hypertrophic cardiomyopathy diagnosed years ago.
Now he is very symptomatic, with angina in rest and crises of  
palpitations accompanied by dizziness, and we could not document  
which type they are. In echocardiogram I have found besides septal  
hypertrophy of 23 mm, double gradient, one in LVOT, peak of 68 mmHg,  
and another intraventricular, of 145 mmHg. He is being treated with  
propranolol 40 mgs per 8 hours.
My question is: would he benefit with a dual chamber pacemaker? Would  
it be essential to implant ICD? Which of the options is more  
appropriate (pacemaker, myectomy, or septal ablation)?
Once again, congratulations,
Dr. Rafael S. León de la Torre
Cardiólogo-Ecocardiografista
Centro de atención cardiovascular de Camaguey
Cuba

--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee




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