Myocardial ischemia with left ventricular outflow obstruction

We report an unusual case of a 32-year old man who was treated for a hypertrophic obstructive cardiomyopathy (HOCM) with a DDD pacing with short AV delay reduction in the past. Without prior notice the patient developed ventricular fibrillation and an invasive cardiac diagnostic was performed, which...

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Detalles Bibliográficos
Autores principales: Popov, Aron F, Bireta, Christian, Schmitto, Jan D, Zenker, Dieter, Friedrich, Martin, Coskun, Kasim O, Seipelt, Ralf, Hanekop, Gerd G, Schoendube, Friedrich A
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2753314/
https://www.ncbi.nlm.nih.gov/pubmed/19761610
http://dx.doi.org/10.1186/1749-8090-4-51
Descripción
Sumario:We report an unusual case of a 32-year old man who was treated for a hypertrophic obstructive cardiomyopathy (HOCM) with a DDD pacing with short AV delay reduction in the past. Without prior notice the patient developed ventricular fibrillation and an invasive cardiac diagnostic was performed, which revealed a myocardial bridging around of the left anterior descending artery (LAD). We suspected ischemia that could be either related to LAD artery compression or perfusion abnormalities due to AV delay reduction with related to diastolic dysfunction.

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