Title of article :
Letter to the Editor Left Ventricular Mechanical Dispersion for the Better Risk Stratification of Patients with Hypertrophic Cardiomyopathy: Is It Possible ?
Author/Authors :
Mohsenibadalabadi, R Department of Cardiology - Tehran Heart Center - Tehran University of Medical Sciences - Tehran, Iran , Hosseinsabet, A Department of Cardiology - Tehran Heart Center - Tehran University of Medical Sciences - Tehran, Iran
Abstract :
Sudden cardiac death (SCD) in patients with hypertrophic
cardiomyopathy (HCM) is a probable catastrophe. To
predict SCD in HCM, the European Society of Cardiology
introduced a risk scoring system that combined several
factors such as age, the left atrial size, the maximal thickness
of the left ventricular (LV) wall, the LV outflow tract
gradient, a history of syncope, a family history of SCD, and
the presence of non-sustained ventricular tachycardia in
electrocardiography Holter monitoring.1 According to this
risk scoring system, if the estimated risk of SCD in 5 years
is less than 4%, the patient does not need a prophylactic
implantable cardioverter-defibrillator (ICD); if it is more
than 6%, the patient needs a prophylactic ICD; and if it is
between 4% and 6%, the patient may require a prophylactic
ICD.1 The latter class, denoting a moderate risk for SCD,
requires further stratification so that clinicians can optimally
determine who needs an ICD and who does not. ...
Keywords :
Letter to the Editor , Left Ventricular Mechanical Dispersion , Better Risk Stratification , Patients , Hypertrophic Cardiomyopathy
Journal title :
The Journal of Tehran University Heart Center (JTHC)