Apical hypertrophic cardiomyopathy presenting with sustained monomorphic ventricular tachycardia and electrocardiographic changes simulating coronary artery disease and left ventricular aneurysm
Key result
A 52-year-old male with apical hypertrophic cardiomyopathy presented with sustained monomorphic ventricular tachycardia refractory to antiarrhythmic drugs, necessitating cardioverter defibrillator implantation.
Population
52-year-old male with apical hypertrophic cardiomyopathy presenting with sustained monomorphic ventricular…
Design
Case_report
Authors
Discussion
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Member takes
Implication
Apical HCM may harbor refractory monomorphic VT risk; case leaves stratification and management guidelines open.
Study Design
Type
Case Report (n=1)
Structured PICO
P
Population
52-year-old male with apical hypertrophic cardiomyopathy presenting with sustained monomorphic ventricular tachycardia
I
Intervention
Implantation of a cardioverter defibrillator and left ventricular apical biopsy
Apical hypertrophic cardiomyopathy can present with sustained monomorphic ventricular tachycardia and ECG changes mimicking an old anterior wall myocardial infarction with aneurysm.
Cite This Study
Wilson et al. (1990) conducted a case report in Apical hypertrophic cardiomyopathy (n=1). Cardioverter defibrillator implantation was evaluated. A 52-year-old male with apical hypertrophic cardiomyopathy presented with sustained monomorphic ventricular tachycardia refractory to antiarrhythmic drugs, necessitating cardioverter defibrillator implantation.