Challenges in the primary prevention of sudden cardiac death in hypertrophic cardiomyopathy in the young

2021 ◽  
pp. 1-2
Author(s):  
Hirokuni Yamazawa ◽  
Atsuhito Takeda ◽  
Gaku Izumi

Abstract A case of hypertrophic cardiomyopathy in the transition from childhood to adulthood, which was low risk by the conventional risk assessment model, medium risk by the adult risk prediction model, and high risk by the paediatric risk prediction model, was inserted an implantable cardioverter-defibrillator. Three years post-implantation, the patient was resuscitated with an appropriate discharge of cardioverter-defibrillator.

2013 ◽  
Vol 35 (30) ◽  
pp. 2010-2020 ◽  
Author(s):  
C. O'Mahony ◽  
F. Jichi ◽  
M. Pavlou ◽  
L. Monserrat ◽  
A. Anastasakis ◽  
...  

EP Europace ◽  
2015 ◽  
Vol 18 (5) ◽  
pp. 773-777 ◽  
Author(s):  
Amalio Ruiz-Salas ◽  
Jose Manuel García-Pinilla ◽  
Fernando Cabrera-Bueno ◽  
Julia Fernández-Pastor ◽  
José Peña-Hernández ◽  
...  

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
G Norrish ◽  
T Ding ◽  
E Field ◽  
C O'mahony ◽  
P M Elliott ◽  
...  

Abstract Background Sudden cardiac death (SCD) is the most common mode of death in childhood hypertrophic cardiomyopathy (HCM) but there is no validated algorithm to identify those at highest risk. This study sought to develop and validate a SCD risk prediction model that provides individualized risk estimates. Methods A prognostic model was derived from an international, retrospective, multi-center longitudinal cohort study of 1024 consecutively evaluated patients aged ≤16 years. The model was developed using pre-selected predictor variables [unexplained syncope, maximal left ventricular (LV) wall thickness (MWT), left atrial diameter (LAD), LV outflow tract (LVOT) gradient and non-sustained ventricular tachycardia (NSVT)] identified from the literature and internally validated using bootstrapping. Results Over a median follow up of 5.3 years (IQR 2.6, 8.2, total patient years 5984), 89 (8.7%) patients died suddenly or had an equivalent event [annual event rate 1.49 (95% CI 1.15–1.92)]. The pediatric model was developed using pre-selected variables to predict the risk of SCD. The model's ability to predict risk at 5 years was validated; C-statistic was 0.69 (95% CI 0.66–0.72) and the calibration slope was 0.98 (95% CI 0.58–1.38). For every 10 ICDs implanted in patients with ≥6% 5-year SCD risk, potentially 1 patient will be saved from SCD at 5 years. Conclusions This new validated risk stratification model for SCD in childhood HCM provides accurate individualized estimates of risk at 5 years using readily obtained clinical risk factors. Acknowledgement/Funding British Heart Foundation


2019 ◽  
Vol 4 (9) ◽  
pp. 918 ◽  
Author(s):  
Gabrielle Norrish ◽  
Tao Ding ◽  
Ella Field ◽  
Lidia Ziólkowska ◽  
Iacopo Olivotto ◽  
...  

Author(s):  
Nuur Azreen Paiman ◽  
◽  
Azian Hariri ◽  
Ibrahim Masood ◽  
Arma Noor ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document