Echocardiography and Cardiac MRI in Mutation-Negative Hypertrophic Cardiomyopathy in an Older Patient: A Case Defining the Need for ICD ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES Rodriguez, F., Degnan, K. O., Seidman, C. E., Mangion, J. R. 2014; 31 (7): E204-E206


We report the case of a 67-year-old man with hypertrophic cardiomyopathy who presented for a second opinion about implantable cardio-defibrillator (ICD) placement after a witnessed syncopal episode. Despite his older age, being mutation-negative, and having a maximal septal thickness of 2.2 cm on echocardiography, he demonstrated rapid progression of myocardial fibrosis on cardiac MRI, correlating to ventricular tachyarrhythmias and syncope. We review the role of echocardiography and cardiac MRI in optimizing medical care for such patients who may not otherwise meet criteria for an ICD placement or further interventions.

View details for DOI 10.1111/echo.12614

View details for Web of Science ID 000340408300002

View details for PubMedID 24816179