Aneurisma apical en paciente con miocardiopatía hipertrófica

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 coro...

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Autores principales: Alcaino I.,Milton, Aguilar P.,Juan, Jorquera B.,Claudia
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2021
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000300472
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spelling oai:scielo:S0034-988720210003004722021-10-14Aneurisma apical en paciente con miocardiopatía hipertróficaAlcaino I.,MiltonAguilar P.,JuanJorquera B.,Claudia Cardiomyopathy, Hypertrophic Heart Aneurysm 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.149 n.3 20212021-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000300472es10.4067/s0034-98872021000300472
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Cardiomyopathy, Hypertrophic
Heart Aneurysm
spellingShingle Cardiomyopathy, Hypertrophic
Heart Aneurysm
Alcaino I.,Milton
Aguilar P.,Juan
Jorquera B.,Claudia
Aneurisma apical en paciente con miocardiopatía hipertrófica
description 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.
author Alcaino I.,Milton
Aguilar P.,Juan
Jorquera B.,Claudia
author_facet Alcaino I.,Milton
Aguilar P.,Juan
Jorquera B.,Claudia
author_sort Alcaino I.,Milton
title Aneurisma apical en paciente con miocardiopatía hipertrófica
title_short Aneurisma apical en paciente con miocardiopatía hipertrófica
title_full Aneurisma apical en paciente con miocardiopatía hipertrófica
title_fullStr Aneurisma apical en paciente con miocardiopatía hipertrófica
title_full_unstemmed Aneurisma apical en paciente con miocardiopatía hipertrófica
title_sort aneurisma apical en paciente con miocardiopatía hipertrófica
publisher Sociedad Médica de Santiago
publishDate 2021
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000300472
work_keys_str_mv AT alcainoimilton aneurismaapicalenpacienteconmiocardiopatiahipertrofica
AT aguilarpjuan aneurismaapicalenpacienteconmiocardiopatiahipertrofica
AT jorquerabclaudia aneurismaapicalenpacienteconmiocardiopatiahipertrofica
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