Paternal uncles and grandparents also presented the disease. Two of the patient's brothers presented the same condition and one had died of sudden death. The patient presented repeated episodes of syncope during the clinical evolution. [scielo.br]

• Fatigue

  The symptoms of visual darkening and fatigue after physical exertion were related with increased cardiac frequency, without arrhythmias, during physical stress. [scielo.br]

• Withdrawn

  These drugs had been previously prescribed and used by the patient, but they had caused arterial hypotension and consequently, their use was withdrawn. [scielo.br]

The IV administration of beta-blockers and disopyramide38 are other treatment options. [scielo.br]

I: Influence on prognosis. Br Heart J. 1981; 46: 168-72. [ Links ] 32. Hardarson T, De la Calzada CS, Curiel R, Goodwin JF. Prognosis and mortality of hypertrophic obstructive cardiomyopathy. Lancet. 1973; 2: 1462-7. [ Links ] 33. [scielo.br]

Fernando Morita) Clinical Commentary The patient was a young woman with a diagnosis of hypertrophic cardiomyopathy (HCM), of the non-obstructive type and presented complex ventricular arrhythmia, of genetic etiology with high penetrance in the family [scielo.br]

Epidemiology of hypertrophic cardiomyopathy-related death: revisited in a large non-referral-based patient population. Circulation. 2000; 102: 858-64. [ Links ] 16. McKenna WJ, Deanfield J, Faruqui A, England E, Oakley C, Goodwin J. [scielo.br]

Pathophysiology of chest pain in patients with cardiomyopathies and normal coronary arteriograms. Circulation. 1982; 65: 778-89. [ Links ] 10. Maron BJ, Casey SA, Poliac LC, Gohman TE, Almquist AK, Aeppli DM. [scielo.br]

Efficacy of implantable cardioverter-defibrillators for the prevention of sudden death in patients with hypertrophic cardiomyopathy. N Engl J Med. 2000; 342: 365-73. [ Links ] 36. Braunwald E, Seidmen CE, Sigwart U. [scielo.br]