[SCD-FORUM] 74S Alleged apical hypertrophic cardiomyopathy. Dr. Wolman

[SCD Symposium]

Hello, friends from the cyberspace,
Congratulations and thank you for this new great event. I would like  
to ask about the best management to follow in the following clinical  
case: this is a 56-year-old patient, who consulted 10 years ago as a  
routine. In that moment he had a very pathological ECG, with negative  
and huge T waves in all the anterior side. We conducted ergometer  
test, 2D echo, Holter and coronary angiography, and all of them  
resulted normal. Since then studies have been repeated annually, and  
he remains completely asymptomatic. The ECG persists with no changes  
and the two last echoes report: apical ventricular hypertrophy. A  
spect gamma camera does not report the alleged apical hypertrophy. We  
have scheduled a cardiac resonance. The question is: should this  
patient receive any treatment? For instance, beta blockers?
At first I had thought that this was a case of genetic hypertrophic  
cardiomyopathy (troponin?) without phenotype. Now, I'm not sure  
that's correct. I would like to have your opinion about what  
management to follow. The father of the patient died when he was 56  
years old, suddenly, but he ignores if the father was a coronary  
patient, and the sons of the patient do not show any pathology to  
this date. Thank you very much,
Luis Wolman


--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee




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