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Echocardiography and Cardiac MRI in Mutation‐Negative Hypertrophic Cardiomyopathy in an Older Patient: A Case Defining the Need for ICD
Author(s) -
Rodriguez Fatima,
Degnan Kathleen O.,
Seidman Christine E.,
Mangion Judy R.
Publication year - 2014
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12614
Subject(s) - hypertrophic cardiomyopathy , cardiology , medicine , cardiomyopathy , heart failure
We report the case of a 67‐year‐old man with hypertrophic cardiomyopathy who presented for a second opinion about implantable cardio‐defibrillator ( ICD ) placement after a witnessed syncopal episode. Despite his older age, being mutation‐negative, and having a maximal septal thickness of 2.2 cm on echocardiography, he demonstrated rapid progression of myocardial fibrosis on cardiac MRI , correlating to ventricular tachyarrhythmias and syncope. We review the role of echocardiography and cardiac MRI in optimizing medical care for such patients who may not otherwise meet criteria for an ICD placement or further interventions.