Aborted sudden cardiac death in a young soldier with concomitant hypertrophic cardiomyopathy and Wolff–Parkinson–White syndrome. (26th December 2018)

• Record Type: Journal Article
• Authors: Kim, Sunwon; Song, Woo Hyuk; Kim, Sung Soon
• Is Part Of: Cardiology in the young. Volume 29:Number 2(2019)
• Page Start: 252
• Page End: 255
• Publication Date: 2018-12-26
• Subjects: Sudden cardiac death, -- ventricular fibrillation, -- hypertrophic cardiomyopathy, -- Wolff–Parkinson–White syndrome, -- implantable cardioverter defibrillator; Pediatric cardiology -- Periodicals; 618.9212
• DOI: 10.1017/S1047951118002123
• Languages: English
• ISSNs: 1047-9511

Abstract

Abstract: We present a young soldier presenting with aborted sudden cardiac death, who was found to have concomitant hypertrophic cardiomyopathy and Wolff–Parkinson–White syndrome. Along with pathological haemodynamic features of hypertrophic cardiomyopathy, an easily-inducible re-entrant tachycardia was clearly documented in our patient. Given the fatal potential of supraventricular tachycardia in hypertrophic cardiomyopathy, we postulated that his tachyarrhythmia could potentially trigger the event. Upon his refusal to receive implantable cardioverter/defibrillator therapy, we ablated anatomical arrhythmogenic substrate instead, and he remained uneventfully over 3 years on β-blocker.