Surgical myectomy hypertrophic cardiomyopathy
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Risk Factors for Sudden Death in Patients with Hypertrophic Cardiomyopathy 1. The overall mortality among patients with hypertrophic cardiomyopathy is less than 1 percent per year. However, a subgroup of patients is at high risk for sudden death, primarily as a result of ventricular arrhythmias. Risk factors can be stratified into major and minor.
heartfailure.onlinejacc.org
Management for hypertrophic cardiomyopathy is summarized in specific consensus documents from the American College of Cardiology Foundation / American Heart Association (ACCF/AHA), and the European Society of Cardiology (ESC).4,5 Treatment for cardiomyopathy and surveillance for progression is critical and is strongly influenced by knowledge of the underlying genetic cause.1,2,3 …
[DOC File]Comparative Medicine - LABSG
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A total of 314 new cases of cardiomyopathy were reported during the 10-year study period: 184 cases of DCM (58.6%), 80 cases of HCM (25.5%), 42 cases of unclassified cardiomyopathy (13.4%), and 8 cases of restrictive cardiomyopathy (2.5%). Of 42 children with unclassified cardiomyopathy, 29 had LVNC (9.2% of all cases), 9 had cardiac hypertrophy with initially impaired systolic function, 2 had ...
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A prospective study was conducted in USA to determine the effectiveness of surgical management of hypertrophic obstructive cardiomyopathy among 178 patients. The 5-year late survival of patients undergoing valve operation plus septal myectomy was 51%, and multivariate testing confirmed the adverse influence on late survival (p=0.008), as well as adverse influences of increasing age (p=0.016 ...
[DOC File]Cardiology 2003
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A surgical myotomy/myectomy of the hypertrophied septum may result in lasting symptomatic improvement in about three-quarters of operated patients, but the mortality of 3 to 5 percent limits the operation to severely symptomatic patients with large pressure gradients who are unresponsive to medical management. The effect of any of these therapies on the natural history is not clear. Digitalis ...
[DOC File]COMPLICATIONS OF LOW-DOSE, ECHO-GUIDED ALCOHOL …
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Hypertrophic cardiomyopathy (HCM) is characterized by left ventricular hypertrophy, typically of a nondilated chamber, without obvious cause such as hypertension or aortic stenosis (Fig. 238-3). It is found in about 1 in 500 of the general population. Two features of HCM have attracted the greatest attention: (1) heterogeneous left ventricular hypertrophy, often with preferential hypertrophy ...
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Concentric left ventricular hypertrophy (LVH) is a hallmark finding in hypertrophic cardiomyopathy that leads to diastolic dysfunction and variable cardiac consequences as severe as congestive heart failure and sudden cardiac death. Up to 50% of UC Davis LVH cases manifested as sudden death (many linked to acute precipitating events such as sedation, anesthesia, or trauma that may have ...
Septal Myectomy | Cleveland Clinic: Health Library
Ommen SR, Maron BJ, Olivotto I, 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. J Am Coll Cardiol 2005;46:470-6.
[DOC File]RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
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Background: Alcohol septal ablation (ASA) is a catheter-based intervention that has been used as an alternative to surgical myectomy in highly symptomatic patients with hypertrophic obstructive cardiomyopathy (HOCM). Methods: This retrospective study was designed to evaluate the incidence of major complications in the mid-term follow-up of low-dose (≤2.5 ml of ethanol), echo-guided alcohol ...
[DOC File]FRACP- Cardiology answers
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SEPTAL MYECTOMY FOR HOCM: WHEN TO DO WHICH . M.A. Fifer . Massachusetts General Hospital, Boston, MA, USA, Harvard Medical School, Boston, MA, USA . Alcohol septal ablation (ASA) was introduced in 1995 as an alternative to surgical septal myectomy for patients with hypertrophic obstructive cardiomyopathy and symptoms refractory to optimal medical therapy. (No randomized …
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