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High risk for sudden death in hypertrophic cardiomyopathy

Healthwise
By Robin Parks, MS

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Some people with hypertrophic cardiomyopathy are at high risk for sudden death. If you are at high risk, you may want to ask your doctor about an implantable cardioverter-defibrillator (ICD), which can identify life-threatening arrhythmias and successfully restore a normal heartbeat.

Your doctor may suggest an ICD if you are at high risk for sudden death. You are at high risk for sudden death if you:1

  • Have had cardiac arrest or ventricular tachycardia in the past.
  • Had a family member with hypertrophic cardiomyopathy who died suddenly or you have any of the genetic abnormalities associated with sudden death.
  • Have fainted (syncope).
  • Have had low blood pressure during or after exercise.
  • Have extreme left ventricle thickness (more than 30 millimeters).

References

Citations

  1. Epstein AE, et al. (2008). ACC/AHA/HRS 2008 Guidelines for Device-Based Therapy of Cardiac Rhythm Abnormalities: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the ACC/AHA/NASPE 2002 Guideline Update for Implantation of Cardiac Pacemakers and Antiarrhythmia Devices): Developed in Collaboration With the American Association for Thoracic Surgery and Society of Thoracic Surgeons. Circulation, 117(21): e350–e408.

Credits

Author Robin Parks, MS
Editor Kathleen M. Ariss, MS
Associate Editor Denele Ivins
Primary Medical Reviewer Caroline S. Rhoads, MD - Internal Medicine
Specialist Medical Reviewer Stephen Fort, MD, MRCP, FRCPC - Interventional Cardiology
Last Updated December 12, 2008
Last Updated: 12/12/2008