Aneurisma apical en paciente con miocardiopatía hipertrófica
| Autor: | Juan Aguilar P., Claudia Jorquera B., Milton Alcaino I. |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Framingham Risk Score business.industry General Medicine Cardiomyopathy Hypertrophic medicine.disease Left ventricular hypertrophy Asymptomatic Sudden death Hyperdynamic left ventricle Aneurysm Internal medicine cardiovascular system Cardiology Medicine Outpatient clinic cardiovascular diseases Heart Aneurysm medicine.symptom Risk factor business |
| Zdroj: | Revista médica de Chile v.149 n.3 2021 SciELO Chile CONICYT Chile instacron:CONICYT |
| ISSN: | 0034-9887 |
| DOI: | 10.4067/s0034-98872021000300472 |
| Popis: | We report a 51-year-old asymptomatic male, with type II diabetes, referred to our outpatient clinic due to ST and T alterations on the precordial leads on the electrocardiogram. The echocardiogram showed apical akinesia and left ventricular hypertrophy. There were no angiographic lesions in the coronary angiography. In the left ventriculography, a hyperdynamic left ventricle with suspected left ventricular hypertrophy and an apical aneurysm were found. The cardiac magnetic resonance confirmed those findings, without late gadolinium enhancement. According to the European Cardiology Society Risk Score, the patient had a low sudden death risk. However, this score does not consider the presence of an aneurysm as risk factor for sudden death, but it is considered in the 2017 ACC/AHA Heart Rhythm Society Guidelines, as a major risk factor. Therefore a defibrillator was implanted, and he was discharged on permanent oral anticoagulation. |
| Databáze: | OpenAIRE |
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