Skip to main content
NCBI home page
British Heart Journal logoLink to British Heart Journal
. 1989 Feb;61(2):178–181. doi: 10.1136/hrt.61.2.178

Clinical sustained uniform ventricular tachycardia in hypertrophic cardiomyopathy: association with left ventricular apical aneurysm.

F Alfonso 1, M P Frenneaux 1, W J McKenna 1
PMCID: PMC1216637  PMID: 2923756

Abstract

Of 51 patients with hypertrophic cardiomyopathy who had episodes of ventricular tachycardia detected during ambulatory electrocardiographic monitoring only two had clinical sustained uniform ventricular tachycardia that required medical treatment because of worsening symptoms. In both patients the arrhythmia was associated with the uncommon finding of an apical aneurysm with angiographically normal coronary arteries.

Full text

PDF
178

Images in this article

179Fig 2
on p.179

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anderson K. P., Stinson E. B., Derby G. C., Oyer P. E., Mason J. W. Vulnerability of patients with obstructive hypertrophic cardiomyopathy to ventricular arrhythmia induction in the operating room. Analysis of 17 patients. Am J Cardiol. 1983 Mar 1;51(5):811–816. doi: 10.1016/s0002-9149(83)80138-6. [DOI] [PubMed] [Google Scholar]
  2. Barbaresi F., Longhini C., Brunazzi C., Caneva M., Cotogni A., Musacci G. F., Rigatelli G., Volta G. Idiopathic apical left ventricular aneurysm in hypertrophic cardiomyopathy. Report of 3 cases, and review of the literature. Jpn Heart J. 1985 May;26(3):481–494. doi: 10.1536/ihj.26.481. [DOI] [PubMed] [Google Scholar]
  3. Breithardt G., Becker R., Seipel L., Abendroth R. R., Ostermeyer J. Non-invasive detection of late potentials in man--a new marker for ventricular tachycardia. Eur Heart J. 1981 Feb;2(1):1–11. doi: 10.1093/oxfordjournals.eurheartj.a061158. [DOI] [PubMed] [Google Scholar]
  4. Fighali S., Krajcer Z., Edelman S., Leachman R. D. Progression of hypertrophic cardiomyopathy into a hypokinetic left ventricle: higher incidence in patients with midventricular obstruction. J Am Coll Cardiol. 1987 Feb;9(2):288–294. doi: 10.1016/s0735-1097(87)80377-7. [DOI] [PubMed] [Google Scholar]
  5. Geibel A., Brugada P., Zehender M., Stevenson W., Waldecker B., Wellens H. J. Value of programmed electrical stimulation using a standardized ventricular stimulation protocol in hypertrophic cardiomyopathy. Am J Cardiol. 1987 Sep 15;60(8):738–739. doi: 10.1016/0002-9149(87)90399-7. [DOI] [PubMed] [Google Scholar]
  6. Ingham R. E., Mason J. W., Rossen R. M., Goodman D. J., Harrison D. C. Electrophysiologic findings in patients with idiopathic hypertrophic subaortic stenosis. Am J Cardiol. 1978 May 1;41(5):811–816. doi: 10.1016/0002-9149(78)90718-x. [DOI] [PubMed] [Google Scholar]
  7. Kowey P. R., Eisenberg R., Engel T. R. Sustained arrhythmias in hypertrophic obstructive cardiomyopathy. N Engl J Med. 1984 Jun 14;310(24):1566–1569. doi: 10.1056/NEJM198406143102405. [DOI] [PubMed] [Google Scholar]
  8. Kuck K. H., Kunze K. P., Schlüter M., Nienaber C. A., Costard A. Programmed electrical stimulation in hypertrophic cardiomyopathy. Results in patients with and without cardiac arrest or syncope. Eur Heart J. 1988 Feb;9(2):177–185. doi: 10.1093/oxfordjournals.eurheartj.a062472. [DOI] [PubMed] [Google Scholar]
  9. Maron B. J., Epstein S. E., Roberts W. C. Hypertrophic cardiomyopathy and transmural myocardial infarction without significant atherosclerosis of the extramural coronary arteries. Am J Cardiol. 1979 Jun;43(6):1086–1102. doi: 10.1016/0002-9149(79)90139-5. [DOI] [PubMed] [Google Scholar]
  10. Maron B. J., Savage D. D., Wolfson J. K., Epstein S. E. Prognostic significance of 24 hour ambulatory electrocardiographic monitoring in patients with hypertrophic cardiomyopathy: a prospective study. Am J Cardiol. 1981 Aug;48(2):252–257. doi: 10.1016/0002-9149(81)90604-4. [DOI] [PubMed] [Google Scholar]
  11. McKenna W. J., Borggrefe M., England D., Deanfield J., Oakley C. M., Goodwin J. F. The natural history of left ventricular hypertrophy in hypertrophic cardiomyopathy: an electrocardiographic study. Circulation. 1982 Dec;66(6):1233–1240. doi: 10.1161/01.cir.66.6.1233. [DOI] [PubMed] [Google Scholar]
  12. McKenna W. J., England D., Doi Y. L., Deanfield J. E., Oakley C., Goodwin J. F. Arrhythmia in hypertrophic cardiomyopathy. I: Influence on prognosis. Br Heart J. 1981 Aug;46(2):168–172. doi: 10.1136/hrt.46.2.168. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. McKenna W. J., Harris L., Rowland E., Kleinebenne A., Krikler D. M., Oakley C. M., Goodwin J. F. Amiodarone for long-term management of patients with hypertrophic cardiomyopathy. Am J Cardiol. 1984 Oct 1;54(7):802–810. doi: 10.1016/s0002-9149(84)80212-x. [DOI] [PubMed] [Google Scholar]
  14. McKenna W. J., Krikler D. M., Goodwin J. F. Arrhythmias in dilated and hypertrophic cardiomyopathy. Med Clin North Am. 1984 Jul;68(4):983–1000. doi: 10.1016/s0025-7125(16)31110-5. [DOI] [PubMed] [Google Scholar]
  15. Nicod P., Polikar R., Peterson K. L. Hypertrophic cardiomyopathy and sudden death. N Engl J Med. 1988 May 12;318(19):1255–1257. doi: 10.1056/NEJM198805123181907. [DOI] [PubMed] [Google Scholar]
  16. Savage D. D., Seides S. F., Maron B. J., Myers D. J., Epstein S. E. Prevalence of arrhythmias during 24-hour electrocardiographic monitoring and exercise testing in patients with obstructive and nonobstructive hypertrophic cardiomyopathy. Circulation. 1979 May;59(5):866–875. doi: 10.1161/01.cir.59.5.866. [DOI] [PubMed] [Google Scholar]
  17. Schiavone W. A., Maloney J. D., Lever H. M., Castle L. W., Sterba R., Morant V. Electrophysiologic studies of patients with hypertrophic cardiomyopathy presenting with syncope of undetermined etiology. Pacing Clin Electrophysiol. 1986 Jul;9(4):476–481. doi: 10.1111/j.1540-8159.1986.tb06602.x. [DOI] [PubMed] [Google Scholar]
  18. Simson M. B. Use of signals in the terminal QRS complex to identify patients with ventricular tachycardia after myocardial infarction. Circulation. 1981 Aug;64(2):235–242. doi: 10.1161/01.cir.64.2.235. [DOI] [PubMed] [Google Scholar]
  19. Watson R. M., Schwartz J. L., Maron B. J., Tucker E., Rosing D. R., Josephson M. E. Inducible polymorphic ventricular tachycardia and ventricular fibrillation in a subgroup of patients with hypertrophic cardiomyopathy at high risk for sudden death. J Am Coll Cardiol. 1987 Oct;10(4):761–774. doi: 10.1016/s0735-1097(87)80268-1. [DOI] [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES