Aneurisma apical en paciente con miocardiopatía hipertrófica / Apical aneurysm in a patient with hypertrophic cardiomyopathy
Rev. méd. Chile
;
149(3): 472-475, mar. 2021. ilus, graf
Artículo
en Español
| LILACS
| ID: biblio-1389462
ABSTRACT
We report a 51-year-old asymptomatic male, with type II diabetes, referred to our outpatient clinic due to ST and T alterations on the precordial leads on the electrocardiogram. The echocardiogram showed apical akinesia and left ventricular hypertrophy. There were no angiographic lesions in the coronary angiography. In the left ventriculography, a hyperdynamic left ventricle with suspected left ventricular hypertrophy and an apical aneurysm were found. The cardiac magnetic resonance confirmed those findings, without late gadolinium enhancement. According to the European Cardiology Society Risk Score, the patient had a low sudden death risk. However, this score does not consider the presence of an aneurysm as risk factor for sudden death, but it is considered in the 2017 ACC/AHA Heart Rhythm Society Guidelines, as a major risk factor. Therefore a defibrillator was implanted, and he was discharged on permanent oral anticoagulation.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Cardiomiopatía Hipertrófica
/
Diabetes Mellitus Tipo 2
/
Aneurisma Cardíaco
Tipo de estudio:
Guía de Práctica Clínica
/
Factores de riesgo
Límite:
Humanos
/
Masculino
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Hospital Lautaro Navarro Avaria/CL
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