Risk stratification for sudden cardiac death after septal myectomy

Richard D. Rothman, Muhamad A. Safiia, Patricia A. Lowry, Theofanie Mela, Suhny Abbara, Caitlin O'Callaghan, Eugene J. Mark, Gus J. Vlahakes, Michael A. Fifer

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Background: The importance of risk stratification for sudden cardiac death (SCD) after septal myectomy for hypertrophic obstructive cardiomyopathy (HOCM) has not been emphasized previously. Methods and results: We report 2 patients with SCD or ventricular tachycardia (VT) after septal myectomy for HOCM in whom risk factors for SCD were identified following surgical myectomy. One received an implantable cardioverter-defibrillator (ICD), which subsequently provided appropriate discharges for VT. The other delayed ICD implantation and suffered SCD. Conclusion: These cases emphasize the importance of risk stratification for SCD after septal myectomy for HOCM.

Original languageEnglish (US)
Pages (from-to)e65-e67
JournalJournal of Cardiology Cases
Volume3
Issue number2
DOIs
StatePublished - Apr 2011

Keywords

  • Cardioverter-defibrillator
  • HOCM
  • Heart disease
  • Hypertrophic cardiomyopathy
  • Myectomy
  • Risk factors
  • Septal reduction therapy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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