In hypertrophic obstructive cardiomyopathy (HOCM), recognized predictors of sudden cardiac death include unexplained syncope, left ventricular wall thickness greater than 30 mm, and late gadolinium enhancement greater than 50% of LV mass, while pseudo normal pattern of LV relaxation is not a recognized predictor; the overall cardiac mortality is approximately 1.5% per year, with sudden cardiac death accounting for 1% and heart failure/stroke for 5%, though some patient subsets may have mortality rates up to 4% annually.
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Cardiac Anesthesia - Hypertrophic obstructive cardiomyopathy MCQ’s - 4 by Prof. Ranjith | RAAONLINEAjouté :
Which of the following is not a recognized predictor of sudden cardiac death in patient with hypertrophic cardiomyopathy? Not a recognized predictor. Unexplained syncope, the left ventricular wall thickness greater than 30 mm, late gadolinium enhancement greater than 50% of the LV mass, pseudo normal pattern of LV relaxation. The answer is pseudo normal pattern of LV relaxation is not a recognized predictor of sudden cardiac death.
The cardiac mortality of HOCM is approximately 1.5% per year. The sudden cardiac death account for 1% and another 5% from the heart failure and stroke. However, there are subset with annual mortality greater up to 4%
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