Acute decompensation of hypertrophic obstructive cardiomyopathy secondary to A-V disassociation: successful treatment with a combination of alcohol septal ablation and permanent pacemaker.

Abstract:

:Alcohol septal ablation is increasingly being offered as a therapy for patients with hypertrophic obstructive cardiomyopathy. The procedure is most often performed in stable patients with a history of increasing symptoms. We describe a patient with hypertrophic obstructive cardiomyopathy with an acute decompensation secondary to the development of complete heart block. The patient's hemodynamics demonstrates the importance of atrial-ventricular (A-V) synchrony in this disease process. This case report is also a unique description of alcohol septal ablation being performed emergently to improve hemodynamics and the urgent implantation of a permanent pacemaker to return A-V synchrony.

journal_name

J Interv Cardiol

authors

Rohatgi S,Wiegers SE,Hsia H,Herling I,Herrmann HC

doi

10.1111/j.1540-8183.2005.00069.x

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

401-6

issue

5

eissn

0896-4327

issn

1540-8183

pii

JOIC069

journal_volume

18

pub_type

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