Permanent Pacing in Patients with Recurrence of Symptoms and Relapse of Left Ventricular Obstruction at Midcavity Level after Alcohol Septal Ablation
Joint Authors
Postadzhiyan, Arman
Velchev, Vasil
Hazarbasanov, Dobri
Finkov, Bojidar
Source
International Journal of Vascular Medicine
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-19
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Treatment of symptom recurrence after initially successful alcohol septal ablation (ASA) in hypertrophic obstructive cardiomyopathy (HOCM) when accompanied by relapse of intracavitary left ventricular pressure gradient (LVG) is guided by the underlying mechanism.
We describe our experience with permanent pacing in three patients with relapse of both LVG and symptoms 7 to 12 months after successful ASA.
Even though pressure gradient recurrence was observed at midventricular level, we were able to achieve symptomatic improvement and LVG reduction after right ventricular apex pacing in all three cases.
The effect on symptoms was long lasting—the 6-month followup echo-stress tests confirmed good exercise capacity and lack of provocable LVG.
We found pacing to be a safe and effective treatment option in this clinical scenario.
Based on our overall observations, we propose pacing as a niche treatment for patients with recurrence of LVG at midventricular level after ASA.
American Psychological Association (APA)
Velchev, Vasil& Postadzhiyan, Arman& Hazarbasanov, Dobri& Finkov, Bojidar. 2012. Permanent Pacing in Patients with Recurrence of Symptoms and Relapse of Left Ventricular Obstruction at Midcavity Level after Alcohol Septal Ablation. International Journal of Vascular Medicine،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-496353
Modern Language Association (MLA)
Velchev, Vasil…[et al.]. Permanent Pacing in Patients with Recurrence of Symptoms and Relapse of Left Ventricular Obstruction at Midcavity Level after Alcohol Septal Ablation. International Journal of Vascular Medicine No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-496353
American Medical Association (AMA)
Velchev, Vasil& Postadzhiyan, Arman& Hazarbasanov, Dobri& Finkov, Bojidar. Permanent Pacing in Patients with Recurrence of Symptoms and Relapse of Left Ventricular Obstruction at Midcavity Level after Alcohol Septal Ablation. International Journal of Vascular Medicine. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-496353
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-496353