Skip to main content
PMC home page
British Heart Journal logoLink to British Heart Journal
. 1980 Mar;43(3):245–251. doi: 10.1136/hrt.43.3.245

Sudden death in hypertrophic cardiomyopathy: associated accessory atrioventricular pathways.

D M Krikler, M J Davies, E Rowland, J F Goodwin, R C Evans, D B Shaw
PMCID: PMC482272  PMID: 7192150

Abstract

Sudden death is a known but unpredictable complication of hypertrophic cardiomyopathy. We describe two patients who both had a strong family history of the disorder complicated by sudden death. Necropsy disclosed accessory bypass tracts, concealed in one and previously suspected in the other. One died from ventricular fibrillation and the other, who died outside hospital, had previously complained of palpitation. Arrhythmia complicating pre-excitation appears to be one of the factors responsible for sudden death in hypertrophic cardiomyopathy.

Full text

PDF
245

Images in this article

247Image
on p.247
248Image
on p.248
248Image
on p.248
250Image
on p.250

Selected References

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

  1. Dreifus L. S., Haiat R., Watanabe Y., Arriaga J., Reitman N. Ventricular fibrillation. A possible mechanism of sudden death in patients and Wolff-Parkinson-White syndrome. Circulation. 1971 Apr;43(4):520–527. doi: 10.1161/01.cir.43.4.520. [DOI] [PubMed] [Google Scholar]
  2. Goodwin J. F., Krikler D. M. Arrhythmia as a cause of sudden death in hypertrophic cardiomyopathy. Lancet. 1976 Oct 30;2(7992):937–940. doi: 10.1016/s0140-6736(76)90896-5. [DOI] [PubMed] [Google Scholar]
  3. 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]
  4. James T. N., Marshall T. K. De subitaneis mortibus. XII. Asymmetrical hypertrophy of the heart. Circulation. 1975 Jun;51(6):1149–1166. doi: 10.1161/01.cir.51.6.1149. [DOI] [PubMed] [Google Scholar]
  5. Krikler D. M. Electrocardiographic diagnosis. Lancet. 1974 May 18;1(7864):974–976. doi: 10.1016/s0140-6736(74)91276-8. [DOI] [PubMed] [Google Scholar]
  6. Krikler D., Coumel P., Curry P., Oakley C. Wolff-Parkinson-White syndrome type A obscured by left bundle branch block. Eur J Cardiol. 1977 Jan;5(1):49–62. [PubMed] [Google Scholar]
  7. Krikler D., Rowland E. Concealed pre-excitation. J Electrocardiol. 1978 Jul;11(3):209–211. doi: 10.1016/s0022-0736(78)80117-4. [DOI] [PubMed] [Google Scholar]
  8. Maron B. J., Lipson L. C., Roberts W. C., Savage D. D., Epstein S. E. "Malignant" hypertrophic cardiomyopathy: identification of a subgroup of families with unusually frequent premature death. Am J Cardiol. 1978 Jun;41(7):1133–1140. doi: 10.1016/0002-9149(78)90870-6. [DOI] [PubMed] [Google Scholar]
  9. Maron B. J., Roberts W. C., Edwards J. E., McAllister H. A., Jr, Foley D. D., Epstein S. E. Sudden death in patients with hypertrophic cardiomyopathy: characterization of 26 patients with functional limitation. Am J Cardiol. 1978 May 1;41(5):803–810. doi: 10.1016/0002-9149(78)90717-8. [DOI] [PubMed] [Google Scholar]
  10. 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]
  11. Swan D. A., Bell B., Oakley C. M., Goodwin J. Analysis of symptomatic course and prognosis and treatment of hypertrophic obstructive cardiomyopathy. Br Heart J. 1971 Sep;33(5):671–685. doi: 10.1136/hrt.33.5.671. [DOI] [PMC free article] [PubMed] [Google Scholar]

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

RESOURCES