Recurrent presyncope is occasionally reported by patients with hypertrophic cardiomyopathy (HC). However, it is difficult to identify on 24-hour Holter recordings the mechanisms responsible for these infrequent symptoms. We report the case of a patient with HC with recurrent presyncope and without major sudden death risk factors, in whom electrocardiographic loop recording identified life-threatening arrhythmias as the mechanism responsible for these symptoms. Documentation of these arrhythmias justified implantation of a cardioverter-defibrillator in the absence of other risk factors. (C) 2011 Elsevier Inc. All rights reserved. (Am J Cardiol 2011;107:1558-1560)
High Risk for Sudden Death Identified by Electrocardiographic Loop Recording in a Patient With Hypertrophic Cardiomyopathy Without Major Risk Factors / Musumeci, Maria Beatrice; Paolo, Spirito; Filippo M., Cauti; Autore, Camillo. - In: THE AMERICAN JOURNAL OF CARDIOLOGY. - ISSN 0002-9149. - 107:10(2011), pp. 1558-1560. [10.1016/j.amjcard.2011.01.034]
High Risk for Sudden Death Identified by Electrocardiographic Loop Recording in a Patient With Hypertrophic Cardiomyopathy Without Major Risk Factors
MUSUMECI, Maria Beatrice;AUTORE, Camillo
2011
Abstract
Recurrent presyncope is occasionally reported by patients with hypertrophic cardiomyopathy (HC). However, it is difficult to identify on 24-hour Holter recordings the mechanisms responsible for these infrequent symptoms. We report the case of a patient with HC with recurrent presyncope and without major sudden death risk factors, in whom electrocardiographic loop recording identified life-threatening arrhythmias as the mechanism responsible for these symptoms. Documentation of these arrhythmias justified implantation of a cardioverter-defibrillator in the absence of other risk factors. (C) 2011 Elsevier Inc. All rights reserved. (Am J Cardiol 2011;107:1558-1560)I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
