Abstract
Management considerations are discussed for HCM patients with massive LV hypertrophy including consideration for primary prevention implantable cardioverter defibrillator placement, and increased risk of progressive heart failure symptoms secondary to obstruction, relieved with myectomy. With treatment these individuals with the most extreme HCM phenotype can achieve extended longevity with low mortality risks.
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References
Maron BJ. Clinical course and management of hypertrophic cardiomyopathy. N Engl J Med. 2018;379(20):1977.
Rowin EJ, Maron BJ, Romashko M, Wang W, Rastegar H, Link MS, et al. Impact of effective management strategies on patients with the most extreme phenotypic expression of hypertrophic cardiomyopathy. Am J Cardiol. 2019;124(1):113–21.
Spirito P, Bellone P, Harris KM, Bernabo P, Bruzzi P, Maron BJ. Magnitude of left ventricular hypertrophy and risk of sudden death in hypertrophic cardiomyopathy. N Engl J Med. 2000;342:1778–85.
Gersh BJ, Maron BJ, Bonow RO, Dearani JA, Fifer MA, Link MS, et al. 2011 ACCF/AHA guideline for the diagnosis and treatment of hypertrophic cardiomyopathy. Circulation. 2011;124:e783–831.
Ommen SR, Maron BJ, Olivotto I, Maron MS, Cecchi F, Betocchi S, et al. Long-term effects of surgical septal myectomy on survival in patients with obstructive hypertrophic cardiomyopathy. J Am Coll Cardiol. 2005;46:470–6.
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Romashko, M., Rowin, E.J. (2020). Management Implications of Hypertrophic Cardiomyopathy Patients with Massive Hypertrophy. In: Natale, A., Wang, P., Al-Ahmad, A., Estes, N. (eds) Cardiac Electrophysiology. Springer, Cham. https://doi.org/10.1007/978-3-030-28533-3_27
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DOI: https://doi.org/10.1007/978-3-030-28533-3_27
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