Hypertrophic cardiomyopathy: an important cause of sudden death.
Population
37 patients diagnosed with hypertrophic cardiomyopathy in childhood. 18 presented with chest pain and…
Design
Cohort
Follow-up
mean 9 years
Authors
Discussion
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Member takes
Implication
Syncope or RVH on ECG may flag higher sudden death risk in pediatric HCM; leaves open need for validated risk models.
Structured PICO
P
Population
37 patients diagnosed with hypertrophic cardiomyopathy in childhood (aged 1 to 14 years, mean 9 years). 18 presented with chest pain and dyspnoea/impaired consciousness, 19 were asymptomatic.
O
Outcome
Mortality (sudden death, cardiac failure death, post-myectomy death) during a mean follow up of nine yearshard clinical
In children with hypertrophic cardiomyopathy, sudden death is common and poorly predicted by clinical, electrocardiographic, or haemodynamic findings, indicating a poor prognosis even if symptoms are absent or mild.
Cite This Study
McKenna et al. (1984) studied this question.