Document Detail

Rare association of hypertrophic cardiomyopathy and complete atrioventricular block with prompt disappearance of outflow gradient after DDD pacing.
MedLine Citation:
PMID:  11220567     Owner:  NLM     Status:  MEDLINE    
Although arrhythmias are common in hypertrophic cardiomyopathy (HCM), complete atrioventricular (AV) block is very unusual. A 27-year-old female presented with a recent history of syncope and exercise intolerance. ECG demonstrated complete AV block. Two-dimensional Doppler echocardiography revealed HCM with a 60 mmHg left ventricular outflow tract (LVOT) gradient. A temporary transvenous ventricular pacemaker was inserted urgently, and subsequently replaced by a permanent DDD pacemaker. All symptoms were eliminated. This symptomatic improvement was associated with complete disappearance of LVOT gradient at the time of implantation. No gradient was observed during early follow-up and at 6 months after DDD pacemaker implantation.
M Yesil; S Bayata; I Susam; H Dinçkal; N Postaci
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology     Volume:  1     ISSN:  1099-5129     ISO Abbreviation:  Europace     Publication Date:  1999 Oct 
Date Detail:
Created Date:  2001-02-23     Completed Date:  2001-03-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100883649     Medline TA:  Europace     Country:  England    
Other Details:
Languages:  eng     Pagination:  280-2     Citation Subset:  IM    
Department of Cardiology, Izmir Ataturk State Hospital, Turkey.
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MeSH Terms
Cardiac Pacing, Artificial*
Cardiomyopathy, Hypertrophic / complications*
Heart Block / diagnosis,  etiology*,  physiopathology
Syncope / etiology
Ventricular Dysfunction, Left / etiology*

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