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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Sociedad Médica de Santiago
2021
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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 |
_version_ |
1718437193246048256 |