Topic

Hypertrophic Cardiomyopathy

Topic Progress:

The ICD work-up of patients with Hypertrophic Cardiomyopathy differs in Europe and United States. In Europe, the ESC Risk-calculator is often used which estimates the risk of sudden death at 5 years in patients ≥16 years of age without a history of resuscitated VT or VF. With a risk score of >6%, ICD implantation should be considered (IIaB) while with a risk score between 4 and 6% it may be considered (IIb B). While not in the risk score, there is increasing evidence that fibrosis found using Cardiac Magnetic Resonance imaging is a risk factor for the development of ventricular arrhythmia.

 

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