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Pacing in Distal Left Ventricular Hypertrophic Cardiomyopathy
Author(s) -
HINTRINGER FLORIAN,
NESSER HANSJOACHIM,
NIEL JOHANNES,
BAUMGARTNER GERTRAUD,
AICHINGER JOSEF
Publication year - 1998
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/j.1540-8159.1998.tb00287.x
Subject(s) - medicine , hypertrophic cardiomyopathy , cardiology , left ventricular hypertrophy , muscle hypertrophy , cardiomyopathy , ventricular hypertrophy , ventricular pressure , heart failure , blood pressure
We report the case of an 85‐year‐old woman with distal LV hypertrophy resulting in an intraventricular pressure gradient and incomplete systolic emptying who benefited from permanent DDD pacing. Our experience based on this case suggests that permanent dual chamber pacing might be a safe and effective therapy also in symptomatic patients with the rare form of hypertrophic cardiomyopathy with left mid‐ventricular obstruction resulting in incomplete emptying of the apical portion of the LV and a significant intraventricu‐ lar pressure gradient that was not responding to pharmacological therapy.