A case report describing a 58-year-old female with symptomatic hypertrophic obstructive cardiomyopathy refractory to medical therapy, highlighting the potential role of pacemaker therapy.
Pacemaker therapy may merit consideration in refractory HOCM; hypothesis-generating case report that leaves open need for RCTs.
A 58‐year‐old female presented with exertional dyspnea and chest discomfort. Echocardiography showed concentric left ventricular hypertrophy with a gradient across the left ventricular outflow tract consistent with hypertrophic obstructive cardiomyopathy (HOCM). Her symptoms progressed despite the use of verapamil.
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STEELY et al. (1997) studied this question.
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