医学
肥厚性心肌病
危险分层
心源性猝死
心脏病学
内科学
猝死
心肌病
左心室肥大
心脏成像
风险评估
心力衰竭
计算机安全
计算机科学
血压
作者
Jay Ramchand,Agostina Fava,Michael Chetrit,Milind Y. Desai
出处
期刊:Heart
[BMJ]
日期:2020-01-16
卷期号:106 (11): 793-801
被引量:15
标识
DOI:10.1136/heartjnl-2019-315176
摘要
Hypertrophic cardiomyopathy (HCM) is a common inherited cardiac condition, which typically manifests as left ventricular hypertrophy. A small subset of patients with HCM have an increased risk of sudden cardiac death (SCD) from ventricular arrhythmias. Risk of SCD can be effectively reduced following implantation of implantable cardiac defibrillators (ICD), although this treatment carries a risk of complications such as inappropriate shocks. With this in mind, we turn to advances in cardiac imaging to guide risk stratification for SCD and to select the appropriate individual who may benefit from ICD implantation. In this review, we have taken the opportunity to briefly summarise the role of imaging in the diagnosis of HCM before focusing on how specific imaging features influence risk of SCD in patients with HCM.
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