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Electrophysiologic Studies in Patients with Hypertrophic Cardiomyopathy: Safety and Relation of Results to Clinical Findings

  • Conference paper
Advances in Cardiomyopathies

Abstract

Patients with hypertrophic cardiomyopathy have a varied clinical presentation. This includes symptoms that suggest an arrhythmic etiology: sudden cardiac arrest, syncope, presyncope, and palpitations. Since early studies linked ventricular tachycardia recorded during Holter monitoring with subsequent sudden cardiac death [1–3], many asymptomatic hypertrophic cardiomyopathy patients are also referred for evaluation due to the presence of ventricular tachycardia (most nonsustained) during 24–48 h Holter monitoring. Electrophysiologic studies have an established role in elucidating possible arrhythmic cause of sudden cardiac arrest, syncope and palpitation and guiding therapy in many other cardiac disease states. Programmed electrical stimulation in hypertrophic cardiomyopathy patients has unfortunately resulted in death in isolated patients [4, 5] and programmed ventricular stimulation has been reported to result in the induction of non-specific ventricular arrhythmias.

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Authors
  1. L. Fananapazir
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Editor information

Editors and Affiliations

  1. Istituto Fisiologia Clinica CNR, Dipartimento di Cardiologia A. De Gasperis, Ospedale Niguarda, Ca’ Granda, Piazza Ospedale Maggiore 3, 20612, Milan, Italy

    G. Baroldi M.D.

  2. Dipartimento di Cardiologia, Ospedale Maggiore, Piazza Ospedale 1, 34129, Trieste, Italy

    F. Camerini M.D.

  3. 2 Pine Grove, Lake Road, SW19 7HE, Wimbledon, London, UK

    J. F. Goodwin M.D.

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© 1990 Springer-Verlag Berlin Heidelberg

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Fananapazir, L. (1990). Electrophysiologic Studies in Patients with Hypertrophic Cardiomyopathy: Safety and Relation of Results to Clinical Findings. In: Baroldi, G., Camerini, F., Goodwin, J.F. (eds) Advances in Cardiomyopathies. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83760-9_9

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  • DOI: https://doi.org/10.1007/978-3-642-83760-9_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-83762-3

  • Online ISBN: 978-3-642-83760-9

  • eBook Packages: Springer Book Archive

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