Sudden cardiac death risk assessment

Katy E. Bockstall, Michael P. Gannon, Weijia Wang, Mark S. Link

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Sudden cardiac death is a major issue in patients with HCM. The young are at particular risk for SCD, while those over 60 are less affected by SCD. There are five traditional risk factors for sudden cardiac death in patients with HCM, including: massively thick myocardium, unexplained syncope, family history of SCD due to HCM, nonsustained ventricular tachycardia, and hypotensive response to exercise. Currently, an ICD is recommended for resuscitated SCD and/or those with sustained ventricular tachycardia, and reasonable for those with massive hypertrophy (>3 cm), unexplained syncope and/or a family history of SCD, and also reasonable for patients with NSVT or abnormal blood pressure response to exercise, but usually when combined with other markers of heightened risk.

Original languageEnglish (US)
Title of host publicationHypertrophic Cardiomyopathy
Subtitle of host publicationForeword by Bernard Gersh and Historical Context by Eugene Braunwald
PublisherSpringer-Verlag London Ltd
Pages123-131
Number of pages9
ISBN (Electronic)9781447149569
ISBN (Print)9781447149552
DOIs
StatePublished - Jan 1 2015

Keywords

  • Hypertrophic cardiomyopathy
  • Massive hypertrophy
  • Nonsustained ventricular tachycardia
  • Sudden cardiac death
  • Syncope

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Bockstall, K. E., Gannon, M. P., Wang, W., & Link, M. S. (2015). Sudden cardiac death risk assessment. In Hypertrophic Cardiomyopathy: Foreword by Bernard Gersh and Historical Context by Eugene Braunwald (pp. 123-131). Springer-Verlag London Ltd. https://doi.org/10.1007/978-1-4471-4956-9_10