Would you consider a primary prevention ICD in a patient with hypertrophic cardiomyopathy and non-sustained ventricular tachycardia, in the absence of any other high risk predictors for sudden cardiac death?

Topics: Cardiology • Cardiac Electrophysiology • Hypertrophic Cardiomyopathy

Answer from: at Community Practice

Nonsustained ventricular tachycardia in hypertrophic cardiomyopathy without major risk factors (IIa primary prevention risk factors in 2020 ACC AHA HCM guidelines – max wall thickness >3 cm, FH SCD, LVEF <50%, unexplained syncope, LV apical aneurysm) remains a minor risk factor in adults...

Comments

at NYU Grossman School of Medicine
Cardiac MRI to assess LGE can be helpful in these ...

at University of Michigan Health System
Just wanted to comment that this is a phenomenal a...

at Baylor College of Medicine/ Texas Children's Hospital
I like cardiac MRI and I think it has a place in H...

at University of Arizona College of Medicine
@Jil C. Tardiff at the University of Arizona ...

Answer from: at Academic Institution

Holter while awaiting CMR, if increased LGE on CMR would consider primary prevention ICD.

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