[SCD-FORUM] 85E RE: HCM in 49-year-old man. Dr. Skeberis

[SCD Symposium]

Sharing in this excellent symposium, I would like to suggest that a
surgical solution must be given, from the hemodynamic point of view. As
for an ICD implantation, I would be very sustained because the patient
had no syncope and no information about the familiar history is written
down. Finally, I would like to ask if a Holter monitoring had been
performed, in order to diagnose the nature of the palpitation?
=20
Vassilis Skeberis MD, FESC
Cardiology Deapartment and EP Lab of Hippokration University Hospital,
Thessaloniki Greece

--
Dr. Sergio Dubner
President of Scientific Committee

Dr. Edgardo Schapachnik
President of Steering Committee


>
> 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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