Ventricular tachycardia and heart failure in a patient of mid‑ventricular obstructive hypertrophic cardiomyopathy with apical aneurysm: A case report

  • Authors:
    • Xin Zhang
    • Xingbin Liu
  • View Affiliations

  • Published online on: July 19, 2019     https://doi.org/10.3892/etm.2019.7796
  • Pages: 2238-2242
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Abstract

Mid‑ventricular obstructive hypertrophic cardiomyopathy (MVOHC) with apical aneurysm is a rare type of cardiomyopathy. It is associated with an elevated risk of ventricular arrhythmias, thromboembolism, heart failure and sudden cardiac death. The present case study reports on a patient with MVOHC and apical aneurysm who developed ventricular arrhythmias and heart failure. The patient received an implantable cardioverter defibrillator for prevention of fatal arrhythmias. Ventricular tachycardia was terminated by increased doses of amiodarone and β‑blocker. Transthoracic echocardiography indicated a mid‑ventricular gradient of 64 mmHg. The patient refused surgical treatment and opted for alcohol septal ablation (ASA). At the 6‑month follow‑up, a rebound of the gradient following ASA was observed on echocardiography. In the present study, timely recognition of MVOHC with apical aneurysm led to prompt defibrillator implantation for prophylaxis regarding further malignant arrhythmias. Surgical management should be considered in symptomatic patients with MVOHC and apical aneurysm.

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September 2019
Volume 18 Issue 3

Print ISSN: 1792-0981
Online ISSN:1792-1015

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APA
Zhang, X., & Zhang, X. (2019). Ventricular tachycardia and heart failure in a patient of mid‑ventricular obstructive hypertrophic cardiomyopathy with apical aneurysm: A case report. Experimental and Therapeutic Medicine, 18, 2238-2242. https://doi.org/10.3892/etm.2019.7796
MLA
Zhang, X., Liu, X."Ventricular tachycardia and heart failure in a patient of mid‑ventricular obstructive hypertrophic cardiomyopathy with apical aneurysm: A case report". Experimental and Therapeutic Medicine 18.3 (2019): 2238-2242.
Chicago
Zhang, X., Liu, X."Ventricular tachycardia and heart failure in a patient of mid‑ventricular obstructive hypertrophic cardiomyopathy with apical aneurysm: A case report". Experimental and Therapeutic Medicine 18, no. 3 (2019): 2238-2242. https://doi.org/10.3892/etm.2019.7796